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DR. BENJAMIN DOUGLAS HINES MD
NPI 1144664863
Psychiatry & Neurology - Psychiatry in Bridgeport, WV

Active since April 24, 2013PECOS Enrolled
65 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330(304) 848-5770 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2022, Feb 27, 2021 (2 updates tracked since 2021).

About Dr. Benjamin Douglas Hines Md NPPES

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

DR. BENJAMIN DOUGLAS HINES MD (NPI 1144664863) is an individual psychiatry provider in Bridgeport, West Virginia, licensed in West Virginia (26627) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1144664863
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BENJAMIN DOUGLAS HINESCredential: MD
Location Address65 PROFESSIONAL PL STE 101Bridgeport, WV 26330-1889
Mailing Address65 Professional Pl Ste 102103Bridgeport, WV 26330-0258 · (304) 848-5770
Phone(304) 848-5770
Sole ProprietorYes
Enumeration DateApril 24, 2013
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1144664863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WV · 26627
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
65 PROFESSIONAL PL STE 101, Bridgeport, WV 26330
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Secondary Practice Location 1

Location 11 Medical Center DriveMorgantown, WV 26506-9186 · Phone (304) 293-5251 · Fax (304) 293-8724

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Douglas Hines Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Hines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Of West Virginia, Inc.
Same address
Community/Behavioral Health
65 PROFESSIONAL PL STE 101
Bridgeport, WV 26330
NPI 1144811290 (304) 848-5770
Community Care Of West Virginia, Inc.
24 mi
Federally Qualified Health Center (FQHC)
133 STAUNTON DR
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 28 clinicians in this Medicare group
NPI 1275271611 (304) 473-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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

Breast Cancer Screening
75%48 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
52%100 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
76%51 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%40 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,139 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
50%20 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
81%52 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 266 patients
Patients screened: 96% · 266 patients
97%90 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%56 patients3/55-star benchmark: 91%
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 6

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

COMMUNITY CARE OF WEST VIRGINIA, INC.
Community/Behavioral Health
65 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
JO ELLEN SINGLETON
Massage Therapist
65 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 842-6463
XAVIER SCOTT
Peer Specialist
65 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
ALEXANDRA NICOLE GUZZI
Case Manager/Care Coordinator
65 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
MELANIE HECKERT
Mechanotherapist
65 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 842-6463
JUSTIN T SAGE MSW
Social Worker
65 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770

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 Benjamin Hines's NPI number?

The NPI number for Benjamin Hines is 1144664863. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Benjamin Hines located?

Benjamin Hines practices at 65 Professional Pl Ste 101, Bridgeport, WV 26330. The listed phone number is (304) 848-5770.

What is Benjamin Hines's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Benjamin Hines enrolled in Medicare?

Yes. Benjamin Hines is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Benjamin Hines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Hines reassigns Medicare benefits to 2 organizations: Community Care Of West Virginia, Inc. (Bridgeport, WV) and Community Care Of West Virginia, Inc. (Weston, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Hines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Hines accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Hines was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.