Dr. Thomas Carens Hilton, MD

  • Zephyrhills, FL
  • Cardiologist
NPI1316949746PAC ID9032003454
Medicare services, 2024
676
Medicare patients, 2024
419
Part D claims, 2024
666
MIPS score, 2024
100
Hospital affiliations
2
Practice address
5611 St, Zephyrhills, FL 33542
Practice phone
Call (800) 877-5227
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Laboratory Corporation of America

Zephyrhills, Florida

See all 12 affiliations

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Dr. Thomas Carens Hilton is a cardiologist in Zephyrhills, Florida

Dr. Hilton practices at Laboratory Corporation of America in Zephyrhills, Florida.

Dr. Hilton's NPI, 1316949746, was assigned on August 15, 2005. Dr. Hilton graduated from Georgetown University School Of Medicine in 1981. Dr. Hilton holds Florida license ME59596.

NPI and contact details
Medicare PAC ID
9032003454
NPI enumeration date
August 15, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(800) 877-5227
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
71
Medical school graduation
1981

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Thomas Carens Hilton practices at Laboratory Corporation of America in Zephyrhills, Florida

Dr. Hilton's primary practice is Laboratory Corporation of America, at 5611 St, Zephyrhills, FL 33542 in Pasco County. The practice phone is (800) 877-5227.

  • Laboratory Corporation of America
    5611 St, Zephyrhills, FL 33542 · Pasco CountyPhone(800) 877-5227

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Thomas Carens Hilton is affiliated with 7 sites of care and 5 medical groups

Dr. Hilton's primary practice is Laboratory Corporation of America in Zephyrhills, Florida. Dr. Hilton is also affiliated with Baptist Medical Center Jacksonville. The medical group on file is The Villages Health. Dmand AI also links Dr. Hilton to 1 more hospital, 4 group practices and clinics and 4 medical groups, each named with a free account.

See all 12 affiliations for Dr. Hilton

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Thomas Carens Hilton's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Hilton practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Laboratory Corporation of AmericaAvailable with a free account
+6 more sites and 4 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Thomas Carens Hilton is one of 1,709 cardiologists in Florida

Cardiovascular disease is Dr. Hilton's primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dr. Hilton is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Hilton's licenses on file in 3 states: Florida, North Carolina and Georgia.

Specialties and state licenses

  • Cardiovascular disease, FloridaPrimaryLicense ME59596 · 1991 to 2027 · taxonomy 207RC0000X
  • North Carolina license2024 to 2026
  • Georgia license1983 to 2025

Clinical focus

Dmand AI lists aneurysm, atrial fibrillation and flutter, chronic hypertension, coronary artery disease, heart blockage, heart failure, heart valve disorders and high cholesterol among the conditions Dr. Hilton treats.

Cardiologists near Dr. Hilton

Counts of cardiologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Thomas Carens Hilton billed Medicare for 676 services in 2024

CMS data shows 676 Medicare services from Dr. Hilton across 11 procedure codes in 2024, for 419 Medicare patients. Medicare paid $47,913 for them.

Medicare services, 2024676
Medicare patients419
Paid by Medicare$47,913
Procedure codes11

Dr. Hilton's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 702024: 454549%
Tests and treatments
2023: 192024: 196932%
Imaging
2023: 02024: 26

Where Dr. Hilton's Medicare services took place, 2024

  • In an office43364%
  • In a facility24336%

Dr. Hilton compared with the Florida median for cardiologists, 2024

  • Dr. Hilton
  • Florida median
Medicare services
676vs 1,92565% below
Medicare patients
419vs 70641% below
Part D claims
550vs 1,99872% below

Medians across 1,638 cardiologists in Florida with Dmand AI profiles that report each measure.

Dr. Hilton's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Hilton

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Thomas Carens Hilton treated 419 Medicare patients in 2024, average age 77

CMS counts 419 Medicare patients who saw Dr. Hilton in 2024. The largest group is 75 to 84, with 186 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 5% are also on Medicaid. Their average risk score is 1.64, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Hilton's median patient age at 77, with 44% women.

Medicare patients, 2024419
Average age77
Average risk score1.64
Also on Medicaid5%

Dr. Hilton's Medicare patients by age, 2024

Dr. Hilton's Medicare patients by sex, 2024

  • Women18544%
  • Men23456%

Chronic conditions among Dr. Hilton's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease63%
  4. Arthritis53%
  5. Atrial fibrillation46%
  6. Heart failure37%
  7. Chronic kidney disease36%
  8. Diabetes36%

Share of Medicare patients with each condition. A patient can have several.

Dr. Hilton's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 77

Patient panel by sex, all payers

  • Women44%
  • Men55%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Thomas Carens Hilton wrote 666 Medicare Part D claims in 2024

In 2024, Dr. Hilton wrote 666 Medicare Part D claims for 184 patients. 85% of them were for generic drugs. CMS names the drug for 550 of them, across 17 drugs with 11 or more claims each, at $90,181 in total drug cost. In 2023, CMS named 675 claims across 18 drugs.

Part D claims, 2024666
Drugs named by CMS17
Total drug cost$90,181
Part D patients184

Dr. Hilton's Part D claims by kind of drug, 2024

  • Generic565 claims85%
  • Brand-name101 claims15%

Dr. Hilton's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 6752024: 55019%

Drugs named by CMS: 17 in 2024, 18 in 2023.

See all prescribing by Dr. Hilton

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Thomas Carens Hilton scored 100 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Hilton for performance year 2024, reported as part of a group. Dr. Hilton accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Hilton's MIPS scores, performance year 2024

  • 100of 100Final score
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Thomas Carens Hilton received $7,591 in industry payments from 2016 to 2025

CMS Open Payments shows 278 general payments to Dr. Hilton from 39 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 81% of the total. Edwards Lifesciences Corporation paid the most, $1,445.

General payments to Dr. Hilton by program year, 2016 to 2025

General payments to Dr. Hilton by kind, 2016 to 2025

$7.6Kin total
  • Food and beverage$6,17981%
  • Travel and lodging$1,28517%
  • Education$1282%

Companies that paid Dr. Hilton the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Hilton

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Thomas Carens Hilton has 2 awards and honors on record

Dmand AI lists 2 awards for Dr. Hilton, most recently CMS Stage 1 EHR in 2014.

Awards and honors for Dr. Hilton

  1. 2014
    • CMS Stage 1 EHR
  2. 2012
    • ACC Fellow

Source: Dmand AI Professional Profile Data

Dr. Thomas Carens Hilton graduated from Georgetown University School Of Medicine

Dr. Hilton graduated from Georgetown University School Of Medicine in 1981. Dr. Hilton is a member of ACC.

  1. Medical schoolGeorgetown University School Of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Thomas Carens Hilton accepts plans from 10 insurance carriers

Dr. Hilton is in network with 10 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Excellus BlueCross BlueShield
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Cigna
  • +2 more carriersWith a free account

Plan types Dr. Hilton accepts, by number of carriers

  1. Medicare8
  2. PPO8
  3. POS4
  4. EPO3
  5. HMO3
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Thomas Carens Hilton's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Thomas Carens Hilton

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Thomas Carens Hilton's NPI number?

Dr. Thomas Carens Hilton's NPI number is 1316949746. It was assigned on August 15, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Thomas Carens Hilton?

Dr. Thomas Carens Hilton is a cardiologist in Zephyrhills, Florida. The primary specialty in the NPI Registry is Cardiovascular Disease Physician (taxonomy code 207RC0000X).

Where does Dr. Thomas Carens Hilton practice?

Dr. Hilton practices at 5611 St, Zephyrhills, FL 33542. Dr. Hilton's primary practice is Laboratory Corporation of America in Zephyrhills, Florida. Dmand AI also links Dr. Hilton to 1 hospital, 4 group practices and clinics and 4 medical groups.

What is Dr. Thomas Carens Hilton's office phone number?

The practice phone on file for Dr. Hilton is (800) 877-5227.

What is Dr. Thomas Carens Hilton's medical license number?

Dr. Hilton holds Florida license ME59596, one of the licenses on file in 3 states.

Which states has Dr. Thomas Carens Hilton been licensed in?

Dmand AI has state licenses on file for Dr. Hilton in Florida (1991 to 2027), North Carolina (2024 to 2026) and Georgia (1983 to 2025).

Which hospitals is Dr. Thomas Carens Hilton affiliated with?

Dr. Hilton is affiliated with Baptist Medical Center Jacksonville. Dmand AI links Dr. Hilton to 1 more hospital.

What medical group is Dr. Thomas Carens Hilton part of?

Dr. Hilton is linked to The Villages Health. Dmand AI links Dr. Hilton to 4 more medical groups.

Does Dr. Thomas Carens Hilton accept Medicare?

Yes. CMS data shows Dr. Hilton billed Medicare for 676 services in 2024, and Dr. Hilton accepts Medicare assignment.

What is Dr. Thomas Carens Hilton's MIPS score?

Dr. Hilton's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Thomas Carens Hilton see?

CMS counts 419 Medicare patients who saw Dr. Hilton in 2024, with an average age of 77.

Is Dr. Thomas Carens Hilton board certified?

Yes. Dr. Hilton is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Thomas Carens Hilton bill to Medicare?

In 2024, Dr. Hilton's most billed Medicare services were office visit, established patient (99214), heart test or procedure (93306) and heart test or procedure (93016).

Where did Dr. Thomas Carens Hilton go to medical school?

Dr. Hilton graduated from Georgetown University School Of Medicine in 1981.

What drugs does Dr. Thomas Carens Hilton prescribe most?

In 2024 Medicare Part D data, Dr. Hilton's most prescribed drugs by claims were Amlodipine Besylate, Atorvastatin Calcium and Rosuvastatin Calcium.

Has Dr. Thomas Carens Hilton received payments from drug or device companies?

CMS Open Payments shows $7,591 in general payments to Dr. Hilton from 39 companies from 2016 to 2025. The largest total came from Edwards Lifesciences Corporation.

How long has Dr. Thomas Carens Hilton been practicing?

Dr. Hilton graduated from medical school in 1981, 45 years ago.

What insurance does Dr. Thomas Carens Hilton accept?

Dr. Hilton is in network with 10 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

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