THOMAS JOHN HINES PA-C
NPI 1043282890
Physician Assistant - Medical in Orlando, FL

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
84.65/100
CMS Quality Rating
45 W CRYSTAL LAKE ST, SUITE 197, ORLANDO, FL 32806(407) 254-2510(407) 423-2789 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas John Hines Pa-c NPPES

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

THOMAS JOHN HINES PA-C (NPI 1043282890) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9105044) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1043282890
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHOMAS JOHN HINESCredential: PA-C
Location Address45 W CRYSTAL LAKE ST, SUITE 197Orlando, FL 32806-4435
Mailing Address25 W Crystal Lake St, Suite 200Orlando, FL 32806-4475 · (407) 254-2500 · Fax (407) 423-2789
Fax(407) 423-2789
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 6, 2006
Last NPPES UpdateSeptember 28, 2016
NPI 1043282890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9105044
45 W CRYSTAL LAKE ST, Orlando, FL 32806

Other Identifiers 1

Medicare PINCE019YFL

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

Thomas John Hines Pa-c 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 ID6901952068
PECOS Enrollment IDI20090915000738
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 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
271 services205 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
125 services92 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
112 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
110 services110 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
97 services80 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
87 services47 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

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.

84.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.59
Promoting Interoperability92
Improvement Activities40
Cost75.93

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0641
DME-Orthotic Devices · category DF007N
2 suppliers12 claims12 services$33.70 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$45.60 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers12 claims12 services$225.82 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 4

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

Clinic/Center (Radiology, Mobile)
45 W CRYSTAL LAKE ST, SUITE 300
ORLANDO, FL 32806
Specialist/Technologist, Other (Surgical Assistant)
45 W CRYSTAL LAKE ST, SUITE 300
ORLANDO, FL 32806
Durable Medical Equipment & Medical Supplies
45 W CRYSTAL LAKE ST, STE 183
ORLANDO, FL 32806
Clinic/Center (Ambulatory Surgical)
45 W CRYSTAL LAKE ST, SUITE 300
ORLANDO, FL 32806

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 Thomas Hines's NPI number?

The NPI number for Thomas Hines is 1043282890. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Thomas Hines located?

Thomas Hines practices at 45 W Crystal Lake St Suite 197, Orlando, FL 32806. The listed phone number is (407) 254-2510.

What is Thomas Hines's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thomas Hines enrolled in Medicare?

Yes. Thomas Hines 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 Thomas Hines accept?

Health plans from AvMed list Thomas Hines 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 Thomas Hines affiliated with any hospitals?

According to CMS data, Thomas Hines is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Thomas Hines was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.