Individual provider Active NPI

Steven Jon Hillam, D.O.

  • Ophthalmology Physician
  • Payson, UT
National Provider Identifier
1265728927
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12199013-1204 Issued in UT
Practice address
910 E 100 N Ste 125
Payson, UT 84651-1638
Phone
(801) 658-5486
Fax
(801) 658-5496
NPI assigned
Jun 21, 2011
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A-1979-16 NM
Ophthalmology Physician 207W00000X 0055146 CO
Ophthalmology Physician 207W00000X 12199013-1204 UT Primary

Addresses

Primary practice location

910 E 100 N Ste 125
Payson, UT 84651-1638

Mailing address

910 E 100 N Ste 125
Payson, UT 84651-1638
Phone (801) 658-5486

Other practice location 1

200 N Fairgrounds Rd Ste 2
Price, UT 84501-4228
Phone (435) 637-8689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160808002454 NM Practitioner - Ophthalmology 1850602327 Reassigns benefits to 1 organization
I20210727003060 UT Practitioner - Ophthalmology 1850602327 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Utah Eye PhysiciansGroup PAC ID 6204869233, 2 clinicians

Practice addresses (Care Compare)

200 N Fairgrounds Rd
Price, UT 84501-4228

816 Boardman Dr
Gallup, NM 87301-4711
Phone (801) 658-5486

910 E 100
Suite 125
Payson, UT 84651-1638
Phone (801) 658-5486

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery313
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0055146COMDOphthalmology Physician
A-1979-16NMMDOphthalmology Physician
12199013-1204UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Hospital CurrentSince Jan 6, 2026 Accepting new patients
Orchard Eye Center LLC Ophthalmology CurrentSince Mar 29, 2021 Accepting new patients
Eastern Utah Eye Physicians Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Past Accepting new patients

Locations

816 Boardman Dr
Gallup, NM 87301
Phone (505) 339-2015

802 S 200 W
Blanding, UT 84511
Phone (435) 678-3869

910 E 100 N
Ste 125
Payson, UT 84651
Phone (801) 658-5486

200 N Fairgrounds Rd
Ste 2
Price, UT 84501
Phone (435) 637-7860

Interoperability endpoints

  • Direct secure messaging: shillam8637@ahs.direct-ci.com
  • Direct secure messaging: steven.hillam.1@16299.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1265728927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E 100 N STE 125",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511638",
            "telephone_number": "801-658-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 100 N STE 125",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511638",
            "telephone_number": "801-658-5486",
            "fax_number": "801-658-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Fairgrounds Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Price",
            "state": "UT",
            "postal_code": "845014228",
            "country_code": "US",
            "telephone_number": "435-637-8689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLAM",
        "first_name": "STEVEN",
        "middle_name": "JON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "A-1979-16",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "0055146",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "12199013-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

Verify at the official NPI Registry.