John Edwin Hilsabeck, M.D.
NPI 1174503957ActiveIndividual· Family Medicine· Spencer, IA
Family Medicine (M.D.) in Spencer, Iowa, trained at University of Iowa, Rj & L Carver College of Medicine (class of 1984). Their prescriptions cost Medicare Part D more than their services did: $681,435 for 12,126 claims, against $88,911 paid for services in 2024. Merck Sharp & Dohme LLC was the largest of 2 companies reporting payments in 2025, $44.90 in all, mostly food and beverage.
Overview
| NPI | 1174503957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 18, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 24991 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 395 |
|---|---|
| Services billed | 2,177 across 38 procedure codes |
| Paid by Medicare | $88,911 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,126 · 22,766 30-day fills |
|---|---|
| Patients | 448 |
| Total drug cost | $681,435 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Iowa, Rj & L Carver College of Medicine |
|---|---|
| Graduation year | 1984 |
| Medicare specialty | Family Practice |
Medical groups
- Sports Rehab and Professional Therapy Associates IncStorm Lake, IA · 132 clinicians
- Spencer Municipal HospitalSpencer, IA · 92 clinicians
Hospital affiliations
- Lakes Regional HealthcareSpirit Lake, IA
- Spencer Municipal HospitalSpencer, IA
Other facilities
- Avera at Home of Spencer HospitalHome health agency · Spencer, IA
- Avera @ Home of Spencer HospitalHospice · Spencer, IA
- Accura Healthcare of MilfordNursing home · Milford, IA
- Ruthven Community Care CenterNursing home · Ruthven, IA
- Spencer Post Acute Rehabilitation CenterNursing home · Spencer, IA
- St Luke Lutheran Nursing HomeNursing home · Spencer, IA
Industry payments (Open Payments)
- 2025$44.90 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $22.52 | 1 |
| Abbott Laboratories | $22.38 | 1 |
What the 2025 payments were for
- Food and Beverage$44.90 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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