Stephen T. Hilborn, MD
Surgery Physician · Southbridge, MA
Stephen T. Hilborn, MD is a surgery physician with a practice address in Southbridge, Massachusetts, and NPI 1073585378, issued on Feb 2, 2006. Check the license (Massachusetts 261430, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Stephen T. Hilborn
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 261430 MA
Self-reported in NPPES; status is on the state search - Practice location
- 94 South St, Southbridge, MA 01550
- Phone
- (508) 764-2772
- Enumerated
- Feb 2, 2006
- Record last updated
- Apr 14, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (508) 764-2833
- Medicaid ID
- 2341586 OH
- Medicare enrollment
- Enrolled (PECOS I20150520001428); accepts Medicare assignment
- Medical or professional school
- Tufts University School Of Medicine, 1997
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,003 in Massachusetts → Look up another NPI →
Also registered at 94 South St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- John Arsenault, PA-CPhysician Assistant1588602437
- Konstantino Avradopoulos, MDSurgery Physician1154390995
- Samantha Chase, MDOrthopaedic Surgery Physician1356635379
- Sarah Daigle, DPMPodiatrist1528445186
- Russell Donnelly, M.D.Orthopaedic Surgery Physician1780672105
- Harry Easterly, MDSurgery Physician1477567212
Verify Stephen T. Hilborn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 261430Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
67% fewer Medicare Part D claims than the average surgery physician in 2024
49 Medicare Part D claims for 42 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 30 claims were for opioids.
Most prescribed
- Oxycodone Hcl27 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 MIPS final score for 2023 (Medicare payment program): 97 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Umass Memorial Medical Group IncSouthbridge, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stephen T. Hilborn among 1,003 surgery physician records in Massachusetts
Stephen T. Hilborn, MD is one of 1,003 surgery physician records with a practice address in Massachusetts. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.
- NPI issued2006 · 13% of these records are older, 58% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated1997 · median 2003 among the 503 with a school on file
- Record last updated2015 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 surgery physician records list a practice address in Southbridge
They are 6 of the 546 NPPES records with a practice address in Southbridge, and 1,003 surgery physician records in Massachusetts.
All 1,003 in Massachusetts → Every provider in Southbridge → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Konstantino Avradopoulos, MDSouthbridge, MA 015501154390995
- Harry Easterly, MDSouthbridge, MA 015501477567212
- Thomas Johnson, MDSouthbridge, MA 015501659476182
- Evan Provisor, MDSouthbridge, MA 015501366427429
- Warren Rose, M.D.Southbridge, MA 015501538148218
- Harvey Clermont, M.D.Shrewsbury, MA 015451649236282
- David Maitland, M.D.Northborough, MA 015321396075081
- Mikhail Novikov, MDNorthborough, MA 015321629278221
Common questions
What is Stephen T. Hilborn, MD's NPI number?
Stephen T. Hilborn, MD's National Provider Identifier (NPI) is 1073585378, issued on Feb 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Stephen T. Hilborn, MD located?
The NPPES record lists a practice address at 94 South St, Southbridge, MA, 01550. Phone: (508) 764-2772. Providers update this record themselves, so call before visiting.
How can I verify Stephen T. Hilborn, MD's license?
NPPES lists Massachusetts license number 261430, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Stephen T. Hilborn, MD prescribe under Medicare Part D?
In 2024, Stephen T. Hilborn, MD had 49 Medicare Part D claims for 42 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Stephen T. Hilborn, MD's MIPS final score?
The 2023 MIPS final score is 97 of 100. 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.