JOHN DAVID HINZE D.O.
NPI 1013933019
Internal Medicine - Critical Care Medicine in Austin, TX

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1301 W 38TH ST STE 700, AUSTIN, TX 78705(512) 324-3340 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John David Hinze D.o. NPPES

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

JOHN DAVID HINZE D.O. (NPI 1013933019) is an individual critical care medicine provider in Austin, Texas, licensed in Texas (J4208) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Tomball, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1992).

NPPES Registry Identity

NPI1013933019
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJOHN DAVID HINZECredential: D.O.
Location Address1301 W 38TH ST STE 700Austin, TX 78705-1016
Mailing Address1301 W 38th St Ste 700Austin, TX 78705-1016 · (512) 324-3340
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1992
Enumeration DateJuly 14, 2006
Last NPPES UpdateJune 14, 2021
NPPES CertifiedJune 14, 2021
NPI 1013933019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in TX · J4208
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License J4208 (TX)
1301 W 38TH ST STE 700, Austin, TX 78705

Other Identifiers 1

Medicaid101901003TX

Accepted 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

John David Hinze D.o. 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 ID2668515792
PECOS Enrollment IDI20100211000306
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
159 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
126 services70 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.
22 services17 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.
17 services17 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Referred Medical Equipment & Supplies CMS DME claims

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

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
3 suppliers21 claims21 services$82.35 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 12

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

Internal Medicine (Pulmonary Disease)
1301 W 38TH ST STE 700
AUSTIN, TX 78705
Internal Medicine (Pulmonary Disease)
1301 W 38TH ST STE 700
AUSTIN, TX 78705
Internal Medicine (Critical Care Medicine)
1301 W 38TH ST STE 700
AUSTIN, TX 78705
Internal Medicine (Pulmonary Disease)
1301 W 38TH ST STE 700
AUSTIN, TX 78705
Internal Medicine (Critical Care Medicine)
1301 W 38TH ST STE 700
AUSTIN, TX 78705
Pharmacist (Psychiatric)
1301 W 38TH ST STE 700
AUSTIN, TX 78705
Student in an Organized Health Care Education/Training Program
1301 W 38TH ST STE 700
AUSTIN, TX 78705
Internal Medicine (Critical Care Medicine)
1301 W 38TH ST STE 700
AUSTIN, TX 78705

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 John Hinze's NPI number?

The NPI number for John Hinze is 1013933019. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is John Hinze located?

John Hinze practices at 1301 W 38th St Ste 700, Austin, TX 78705. The listed phone number is (512) 324-3340.

What is John Hinze's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is John Hinze enrolled in Medicare?

Yes. John Hinze 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 John Hinze accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list John Hinze 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 John Hinze affiliated with any hospitals?

According to CMS data, John Hinze is affiliated with Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for John Hinze was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.