DR. PATRICK HINES MD
NPI 1073614939
Radiology - Diagnostic Radiology in Nutley, NJ

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
68.47/100
CMS Quality Rating
20 HIGH ST, NUTLEY, NJ 07110(973) 284-0020(973) 284-6310 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patrick Hines Md NPPES

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

DR. PATRICK HINES MD (NPI 1073614939) is an individual diagnostic radiology provider in Nutley, New Jersey, licensed in New Jersey (25MA05292900) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Pompton Plains.

NPPES Registry Identity

NPI1073614939
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PATRICK HINESCredential: MD
Location Address20 HIGH STNutley, NJ 07110-1132
Mailing Address777 Passaic Ave, Suite 360Clifton, NJ 07012-1804 · (973) 284-0020 · Fax (973) 284-6310
Fax(973) 284-6310
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1987
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
NPI 1073614939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NJ · 25MA05292900
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
20 HIGH ST, Nutley, NJ 07110

Secondary Practice Location 1

Location 197 W ParkwayPompton Plains, NJ 07444-1647 · Phone (973) 831-5089 · Fax (973) 831-5512

Other Identifiers 1

Medicaid5396107NJ

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

Dr. Patrick Hines 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 ID7012946700
PECOS Enrollment IDI20050812000291
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 68

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,181 services886 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
438 services398 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
383 services363 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
270 services256 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
226 services213 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
212 services205 patients

Hospital Affiliations CMS Care Compare 5

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

68.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.33
Improvement Activities40
Cost19.97

Reported Quality Measures

Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
98%127 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110
Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110
Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110
Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110
Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110
Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110
Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110
Radiology (Diagnostic Radiology)
20 HIGH ST
NUTLEY, NJ 07110

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 Patrick Hines's NPI number?

The NPI number for Patrick Hines is 1073614939. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Patrick Hines located?

Patrick Hines practices at 20 High St, Nutley, NJ 07110. The listed phone number is (973) 284-0020.

What is Patrick Hines's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Patrick Hines enrolled in Medicare?

Yes. Patrick 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 Patrick Hines accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Patrick 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 Patrick Hines affiliated with any hospitals?

According to CMS data, Patrick Hines is affiliated with Morristown Medical Center, Chilton Medical Center, Newton Medical Center, Overlook Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Patrick Hines was last updated on January 10, 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.