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TONY RAY HINSON MD
NPI 1003887159
Internal Medicine in Concord, NC

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
920 CHURCH ST N, SUITE 255, CONCORD, NC 28025(704) 403-1331 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 54 more (57 updates tracked since 2018).

About Tony Ray Hinson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONY RAY HINSON MD (NPI 1003887159) is an individual internal medicine provider in Concord, North Carolina, licensed in North Carolina (33842) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1003887159
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTONY RAY HINSONCredential: MD
Location Address920 CHURCH ST N, SUITE 255Concord, NC 28025-2927
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 403-1331
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1989
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 15, 202457 updates tracked since enumeration
✔ NPI 1003887159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 33842
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 33842 (NC)
920 CHURCH ST N, Concord, NC 28025
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070
Location 21000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 38800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241
Location 410628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tony Ray Hinson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315903275
PECOS Enrollment IDI20041202000976
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Atrium Health Anson

Acute Care Hospitals · Wadesboro, NC
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340084
Location2301 Us Highway 74 WestWadesboro, NC 28170 · Anson County
Emergency services

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$19.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$106.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEONARD ALEXANDER STALLINGS MD
Emergency Medicine
920 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (704) 403-1311
PATRICK TWUM-BARIMAH MD
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Cabarrus County (704) 403-1331
SHIVANGI MANU PATEL PA
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (704) 403-3664
AISHWARYA PALWAI MD
Internal Medicine (Critical Care Medicine)
920 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (704) 403-1311
MARLEE BODLE CRNA
Nurse Anesthetist, Certified Registered
920 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (704) 403-1412
NATALIA KOHL BECKER PA
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (952) 237-6564
CABARRUS MEMORIAL HOSPITAL
Home Health
920 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (704) 783-3000
GAIL SUTTON WOOLEY CRNA
Nurse Anesthetist, Certified Registered
920 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (704) 355-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tony Hinson's NPI number?

The NPI number for Tony Hinson is 1003887159. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Tony Hinson located?

Tony Hinson practices at 920 Church St N Suite 255, Concord, NC 28025. The listed phone number is (704) 403-1331.

What is Tony Hinson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tony Hinson enrolled in Medicare?

Yes. Tony Hinson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tony Hinson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Tony Hinson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tony Hinson affiliated with any hospitals?

According to CMS data, Tony Hinson is affiliated with Scotland Memorial Hospital, Atrium Health Cleveland, North Carolina Baptist Hospital, Atrium Health Anson and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Tony Hinson was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.