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JOHN L HINSON M.D.
NPI 1144219320
Urology in Athens, AL

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
101 FITNESS WAY, SUITE 2300, ATHENS, AL 35611(256) 262-2170(256) 216-1960 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John L Hinson M.d. NPPES

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

JOHN L HINSON M.D. (NPI 1144219320) is an individual urology provider in Athens, Alabama, licensed in Alabama (11484) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Baylor College Of Medicine (1989).

NPPES Registry Identity

NPI1144219320
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHN L HINSONCredential: M.D.
Location Address101 FITNESS WAY, SUITE 2300Athens, AL 35611-2480
Mailing Address101 Fitness Way, Suite 2300Athens, AL 35611-2480 · (256) 262-2170 · Fax (256) 216-1960
Phone(256) 262-2170
Fax(256) 216-1960
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1989
Enumeration DateOctober 19, 2005
Last NPPES UpdateSeptember 15, 2015
✔ NPI 1144219320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in AL · 11484
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
101 FITNESS WAY, Athens, AL 35611
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Other Identifiers 3

Medicaid000028251AL
Medicare UPING02733AL
Medicare PINE816AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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 L Hinson 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 ID1456458827
PECOS Enrollment IDI20100429000114, I20251219003431, I20260407002924
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 7

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.
142 services89 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
68 services46 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
59 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services38 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
45 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35611 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
8%152 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims1,080 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers37 claims5,640 services$1.62 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers16 claims44 services$8.93 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$2.66 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$5.83 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$4.47 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.

ANNE TATE WILSON CRNP
Nurse Practitioner (Primary Care)
101 FITNESS WAY, SUITE 1200
ATHENS, AL 35611
Limestone County (256) 232-0636
DR. BELINDA MAPLES M.D.
Family Medicine
101 FITNESS WAY, SUITE 1200
ATHENS, AL 35611
Limestone County (256) 232-0636
BELINDA MAPLES M.D., P.C.
Family Medicine
101 FITNESS WAY, SUITE 1200
ATHENS, AL 35611
Limestone County (256) 232-0636
MS. JENIFER GAIL SANDERS BSN RN (NP STUDENT)
Family Medicine
101 FITNESS WAY
ATHENS, AL 35611
Limestone County (256) 232-0636
WESLEY C CROWELL MD
Pediatrics
101 FITNESS WAY, STE 1100
ATHENS, AL 35611
Limestone County (256) 233-0712
MRS. CRYSTAL V. WALKER M.D.
Internal Medicine (Cardiovascular Disease)
101 FITNESS WAY, SUITE 2700
ATHENS, AL 35611
Limestone County (256) 233-9273
CHRISTOPHER E. EDWARDS MD
Family Medicine
101 FITNESS WAY, SUITE 1200
ATHENS, AL 35611
Limestone County (256) 232-0636
MICHELLE HOFFMANN
Nurse Practitioner (Pediatrics)
101 FITNESS WAY, SUITE 2100
ATHENS, AL 35611
Limestone County (256) 216-9730

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 Hinson's NPI number?

The NPI number for John Hinson is 1144219320. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is John Hinson located?

John Hinson practices at 101 Fitness Way Suite 2300, Athens, AL 35611. The listed phone number is (256) 262-2170.

What is John Hinson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Hinson enrolled in Medicare?

Yes. John 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 John Hinson accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John 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 John Hinson affiliated with any hospitals?

According to CMS data, John Hinson is affiliated with Tift Regional Medical Center, Genesis Hospital and Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for John Hinson was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.