Richard Andrew Hillesheim, M.D.
Orthopaedic Surgery Physician · Bristol, TN
Richard Andrew Hillesheim, M.D. is an orthopaedic surgery physician with a practice address in Bristol, Tennessee, and NPI 1295269660, issued on Apr 12, 2017. Check the license on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Richard Andrew Hillesheim
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 01087784 IN
Self-reported in NPPES; status is on the state search - Practice location
- 340 Steeles RD, Bristol, TN 37620
- Phone
- (423) 282-9011
- Enumerated
- Apr 12, 2017
- Record last updated
- Aug 11, 2023
- Fax
- (423) 282-0035
- Medicare enrollment
- Enrolled (PECOS I20231003002747); accepts Medicare assignment
- Medical or professional school
- Jefferson Medical College Of Thomas Jefferson University, 2017
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 467 in Tennessee → Look up another NPI →
Also registered at 340 Steeles RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stephan Ball, PT, DPT, ATCPhysical Therapist1700295565
- Jonathan Bryant, DOSports Medicine (Orthopaedic Surgery) Physician1407203755
- David Carver, MDOrthopaedic Surgery Physician1437492907
- Rachel Cosby, PA-CPhysician Assistant1134796972
- Michael Czulinski, DOOrthopaedic Surgery of the Spine Physician1801240130
- Tyler Duncan, DOOrthopaedic Surgery Physician1154737799
Verify Richard Andrew Hillesheim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical ExaminersCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3% more Medicare Part D claims than the average orthopaedic surgery physician in 2024
358 Medicare Part D claims for 150 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 96 claims were for opioids.
Most prescribed
- Meloxicam123 claims
- Hydrocodone-Acetaminophen63 claims
- Ondansetron Hcl53 claims
- Oxycodone-Acetaminophen23 claims
- Diclofenac Sodium15 claims
- Methylprednisolone14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 55 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $326.42
8 payments; by number, the most common kind was food and beverage; the largest payer was Skeletal Dynamics Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Watauga Orthopaedics PLCBristol, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Richard Andrew Hillesheim among 467 orthopaedic surgery physician records in Tennessee
Richard Andrew Hillesheim, M.D. is one of 467 orthopaedic surgery physician records with a practice address in Tennessee. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 90% of them.
- NPI issued2017 · 90% of these records are older, 7% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2017 · median 2003 among the 306 with a school on file
- Record last updated2023 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 orthopaedic surgery physician records list a practice address in Bristol
They are 13 of the 1,013 NPPES records with a practice address in Bristol, and 467 orthopaedic surgery physician records in Tennessee.
All 467 in Tennessee → Every provider in Bristol → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- David Carver, MDBristol, TN 376201437492907
- John Chandler, M.D.Bristol, TN 376201962404863
- Jonathan Clark, M.D.Bristol, TN 376201033437330
- Tyler Duncan, DOBristol, TN 376201154737799
- Michael Fleenor, M.D.Bristol, TN 376201215964911
- Jason Fogleman, M.D.Bristol, TN 376201427391697
- Gabriel Hommel, M.D.Bristol, TN 376201477764371
- Danny Mullins, MDBristol, TN 376201740225705
Common questions
What is Richard Andrew Hillesheim, M.D.'s NPI number?
Richard Andrew Hillesheim, M.D.'s National Provider Identifier (NPI) is 1295269660, issued on Apr 12, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Richard Andrew Hillesheim, M.D. located?
The NPPES record lists a practice address at 340 Steeles RD, Bristol, TN, 37620. Phone: (423) 282-9011. Providers update this record themselves, so call before visiting.
How can I verify Richard Andrew Hillesheim, M.D.'s license?
Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Richard Andrew Hillesheim, M.D. prescribe under Medicare Part D?
In 2024, Richard Andrew Hillesheim, M.D. had 358 Medicare Part D claims for 150 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Richard Andrew Hillesheim, M.D.'s MIPS final score?
The 2023 MIPS final score is 55 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.