2026 NPPES data Family Medicine Physician NPI 1922093665 M.D.
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THOMAS HILSMAN, M.D.

Family Medicine Physician in DAWSON, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
105
Medicare Part D claims · 25 beneficiaries · Family Medicine Physician avg: 3K
What the federal data reveals: THOMAS HILSMAN, M.D. is a Family Medicine Physician ([object Object]) practicing in DAWSON, Georgia with a Medicare Part D prescribing footprint of 105 claims across 25 beneficiaries .

What stands out: THOMAS HILSMAN, M.D. filed 105 Medicare Part D claims in 2023 across DAWSON, Georgia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THOMAS HILSMAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

THOMAS HILSMAN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/19/2005

NPI 1922093665

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

105 97% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Georgia

How Family Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Family Medicine Physician share within Georgia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

THOMAS HILSMAN, M.D. is a Family Medicine Physician provider practicing in DAWSON, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1922093665. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THOMAS HILSMAN, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 771 ROUNDTREE DR SW STE A, DAWSON, GA, 39842, with a listed phone of (229) 270-1905. NPI 1922093665 was issued on 09/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HILSMAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 105 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $10K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

771 ROUNDTREE DR SW STE A
DAWSON, GA 39842

Provider Details

NPI 1922093665
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 09/19/2005

Hospital and facility affiliations

Facilities where THOMAS HILSMAN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CARECONNECT HEALTH INC
RICHLAND, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

105
Total Claims
$10K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
179
Total Day Supply
4,635
Generic Drug Cost
$842

Patient Demographics

Average Patient Age
64.7 years
Avg HCC Risk Score
1.63

Family Medicine Physician Overview

How THOMAS HILSMAN, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

THOMAS HILSMAN, M.D.'s 105 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as HILSMAN.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS HILSMAN, M.D.'s specialty?
THOMAS HILSMAN, M.D. specializes in Family Medicine Physician and practices in DAWSON, Georgia. Credentials: M.D..
How much does THOMAS HILSMAN, M.D. prescribe under Medicare Part D?
In 2023, THOMAS HILSMAN, M.D. wrote 105 Medicare Part D claims totaling $10K in drug costs for 25 beneficiaries.
Where is THOMAS HILSMAN, M.D. located?
THOMAS HILSMAN, M.D. is located at 771 ROUNDTREE DR SW STE A, DAWSON, GA, 39842. Phone: (229) 270-1905.
What is THOMAS HILSMAN, M.D.'s NPI number?
THOMAS HILSMAN, M.D.'s National Provider Identifier (NPI) is 1922093665, issued on 09/19/2005.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does THOMAS HILSMAN, M.D. accept Medicare?
THOMAS HILSMAN, M.D. appears in CMS Medicare data with 105 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS HILSMAN, M.D.'s credentials?
THOMAS HILSMAN, M.D.'s NPI is 1922093665 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology