DR. JOHNNIE HINTON III M.D.
NPI 1215917562
Internal Medicine - Nephrology in El Dorado, AR

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
620 W GROVE ST, EL DORADO, AR 71730(501) 321-9803(501) 321-0710 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Johnnie Hinton Iii M.d. NPPES

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

DR. JOHNNIE HINTON III M.D. (NPI 1215917562) is an individual nephrology provider in El Dorado, Arkansas, licensed in Arkansas (E3592) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1996).

NPPES Registry Identity

NPI1215917562
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOHNNIE HINTON IIICredential: M.D.
Location Address620 W GROVE STEl Dorado, AR 71730-4462
Mailing Address115 Wrights St, Suite CHot Springs, AR 71913-6240 · (501) 321-9803 · Fax (501) 321-0710
Fax(501) 321-0710
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1996
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJanuary 15, 2020
NPI 1215917562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AR · E3592
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
620 W GROVE ST, El Dorado, AR 71730

Other Identifiers 1

Medicaid149509001AR

Accepted 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

Dr. Johnnie Hinton Iii 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 ID3375574080
PECOS Enrollment IDI20100416000127
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 9

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
373 services94 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.
96 services68 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
59 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services36 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.
38 services22 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.
36 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71730 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims46 services$6.02 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.28 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims12 services$17.89 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 6

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
620 W GROVE ST
EL DORADO, AR 71730
Internal Medicine (Nephrology)
620 W GROVE ST
EL DORADO, AR 71730
Internal Medicine (Nephrology)
620 W GROVE ST
EL DORADO, AR 71730
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
620 W GROVE ST
EL DORADO, AR 71730
Family Medicine
620 W GROVE ST, SUITE 201
EL DORADO, AR 71730
Nurse Practitioner (Acute Care)
620 W GROVE ST
EL DORADO, AR 71730

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 Johnnie Hinton's NPI number?

The NPI number for Johnnie Hinton is 1215917562. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Johnnie Hinton located?

Johnnie Hinton practices at 620 W Grove St, El Dorado, AR 71730. The listed phone number is (501) 321-9803.

What is Johnnie Hinton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Johnnie Hinton enrolled in Medicare?

Yes. Johnnie Hinton 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 Johnnie Hinton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Sunflower Health Plan and 6 other insurers list Johnnie Hinton 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 Johnnie Hinton was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.