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ADAM H HINZEY MD, PHD
NPI 1194256024
Psychiatry & Neurology - Psychiatry in Seattle, WA

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
1221 MADISON ST STE 500, SEATTLE, WA 98104(206) 386-2552(206) 215-3959 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2023, Jun 21, 2021, Mar 22, 2017 (3 updates tracked since 2017).

About Adam H Hinzey Md, Phd NPPES

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

ADAM H HINZEY MD, PHD (NPI 1194256024) is an individual psychiatry provider in Seattle, Washington, licensed in Washington (MD61302752) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Ohio State University College Of Medicine (2017).

NPPES Registry Identity

NPI1194256024
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameADAM H HINZEYCredential: MD, PHD
Location Address1221 MADISON ST STE 500Seattle, WA 98104-1388
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(206) 386-2552
Fax(206) 215-3959
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateDecember 1, 20233 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1194256024 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 WA · MD61302752
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.
1221 MADISON ST STE 500, Seattle, WA 98104
Open in Google Maps ↗

Other Identifiers 1

Medicaid2228686WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Adam H Hinzey Md, Phd 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 ID8325310105
PECOS Enrollment IDI20221115001278
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 2

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.
28 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 11

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

ALISON L RYAN ARNP
Nurse Practitioner
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 386-2552
STEPHANIE ELIZABETH WOO MS
Genetic Counselor, MS
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 386-2552
JOYTI K KHOKHAR MS, LCGC
Genetic Counselor, MS
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 337-9108
ANNA VERCRUYSSEN MS, CGC
Genetic Counselor, MS
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 386-2552
YUIHO WALKER MROZINSKI ARNP
Nurse Practitioner
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 215-5900
DR. FENGTING YAN MD, PHD
Internal Medicine (Hematology & Oncology)
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 215-5900
MARIANNE EMMANUELLE DUBARD-GAULT M.D.
Medical Genetics (Clinical Genetics (M.D.))
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 386-2552
ELIZABETH MARISSA CHAVEZ MS
Genetic Counselor, MS
1221 MADISON ST STE 500
SEATTLE, WA 98104
King County (206) 386-2551

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 Hinzey's NPI number?

The NPI number for Adam Hinzey is 1194256024. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Adam Hinzey located?

Adam Hinzey practices at 1221 Madison St Ste 500, Seattle, WA 98104. The listed phone number is (206) 386-2552.

What is Adam Hinzey's specialty?

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

Is Adam Hinzey enrolled in Medicare?

Yes. Adam Hinzey 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 Adam Hinzey accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Adam Hinzey 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 Adam Hinzey affiliated with any hospitals?

According to CMS data, Adam Hinzey is affiliated with Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Hinzey was last updated on December 1, 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.