DR. SCOTT W HINES M.D.
NPI 1194799486
Emergency Medicine in Smithfield, VA

Active since February 14, 2006PECOS Enrolled
94.07/100
CMS Quality Rating
19339 BENNS GRANT BLVD, SMITHFIELD, VA 23430(757) 612-8154 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott W Hines M.d. NPPES

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

DR. SCOTT W HINES M.D. (NPI 1194799486) is an individual emergency medicine provider in Smithfield, Virginia, licensed in Virginia (0101230213) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194799486
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SCOTT W HINESCredential: M.D.
Location Address19339 BENNS GRANT BLVDSmithfield, VA 23430-6393
Mailing Address611 Dock LndgWilliamsburg, VA 23185-7903 · (757) 639-6912
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1194799486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101230213
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
19339 BENNS GRANT BLVD, Smithfield, VA 23430

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott W Hines M.d. 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

6

Medicare enrollment records show Scott Hines reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
19375 BENNS GRANT BLVD
Smithfield, VA 23430
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Riverside Physician Services Inc
  • 1,097 clinicians in this Medicare group
Emergency Medicine
100 FAIRVIEW DR
Franklin, VA 23851
  • Reassigned Medicare billing, Virginia enrollment
  • 219 clinicians in this Medicare group
Emergency Medicine
5 GARRETT AVE
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland, Virginia and District of Columbia enrollments
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • Also billed through NPI 1881559102 (Virginia), NPI 1932948114 (District of Columbia)
  • 729 clinicians in this Medicare group
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, Maryland and Virginia enrollments
  • 301 clinicians in this Medicare group
Emergency Medicine
100 BROWN ST
Chestertown, MD 21620
  • Reassigned Medicare billing, Maryland enrollment
  • 172 clinicians in this Medicare group
Emergency Medicine
327 BEACH 19TH ST
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Island Emergency Medical Services PC
  • 290 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
227 services224 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
136 services135 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
121 services119 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23430 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
19339 BENNS GRANT BLVD
SMITHFIELD, VA 23430
General Acute Care Hospital
19339 BENNS GRANT BLVD
SMITHFIELD, VA 23430
Pharmacist
19339 BENNS GRANT BLVD
SMITHFIELD, VA 23430
Hospitalist
19339 BENNS GRANT BLVD
SMITHFIELD, VA 23430

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 Scott Hines's NPI number?

The NPI number for Scott Hines is 1194799486. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Scott Hines located?

Scott Hines practices at 19339 Benns Grant Blvd, Smithfield, VA 23430. The listed phone number is (757) 612-8154.

What is Scott Hines's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Hines enrolled in Medicare?

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

Which organizations bill Medicare for Scott Hines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Hines reassigns Medicare benefits to 6 organizations: Riverside Physcian Services Inc (Smithfield, VA), Alexandria Springfield Emergency Physicians PC (Franklin, VA), Emergency Medicine Associates PA PC (La Plata, MD), Mep Health, LLC (Rockville, MD), Chester River Hospital Center (Chestertown, MD) and 1 more organization, listed in the Medicare section above. 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 Scott Hines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Hines was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.