ADAM HINES M.D.
NPI 1124472873
Internal Medicine - Hematology & Oncology in New Hyde Park, NY

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1 DELAWARE DR, NEW HYDE PARK, NY 11042(516) 336-5255 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Jul 24, 2023, Aug 21, 2019 (3 updates tracked since 2019).

About Adam Hines M.d. NPPES

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

ADAM HINES M.D. (NPI 1124472873) is an individual hematology & oncology provider in New Hyde Park, New York, licensed in New York (300497) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Valley Stream.

NPPES Registry Identity

NPI1124472873
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameADAM HINESCredential: M.D.
Location Address1 DELAWARE DRNew Hyde Park, NY 11042-1116
Mailing Address1 Research RdRidge, NY 11961-2701 · (631) 751-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 19, 2016
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1124472873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 300497
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1 DELAWARE DR, New Hyde Park, NY 11042

Secondary Practice Location 1

Location 1260 W Sunrise HwyValley Stream, NY 11581-1011 · Phone (516) 336-5255

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

Adam Hines M.d. 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 ID1153669585
PECOS Enrollment IDI20191219000544
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 63

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
21,000 services20 patients
Injection, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
3,600 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,860 services14 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.
863 services294 patients
Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
855 services36 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
806 services35 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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
1 supplier12 claims12 services$57.99 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 9

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

Dietitian, Registered
1 DELAWARE DR
NEW HYDE PARK, NY 11042
Nurse Practitioner (Primary Care)
1 DELAWARE DR
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
1 DELAWARE DR
NEW HYDE PARK, NY 11042
Physical Therapist
1 DELAWARE DR
NEW HYDE PARK, NY 11042
Physician Assistant
1 DELAWARE DR
NEW HYDE PARK, NY 11042
Anesthesiology
1 DELAWARE DR
NEW HYDE PARK, NY 11042
Occupational Therapist
1 DELAWARE DR
NEW HYDE PARK, NY 11042
Physician Assistant
1 DELAWARE DR
NEW HYDE PARK, NY 11042

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 Adam Hines's NPI number?

The NPI number for Adam Hines is 1124472873. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Adam Hines located?

Adam Hines practices at 1 Delaware Dr, New Hyde Park, NY 11042. The listed phone number is (516) 336-5255.

What is Adam Hines's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Adam Hines enrolled in Medicare?

Yes. Adam 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.

Is Adam Hines affiliated with any hospitals?

According to CMS data, Adam Hines is affiliated with North Shore University Hospital, Long Island Jewish Medical Center and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Hines was last updated on August 15, 2023. 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.