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DR. RAYMOND A HINERMAN DDS, M.D.
NPI 1235233784
Otolaryngology in Wheeling, WV

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
30 MEDICAL PARK STE 223, WHEELING, WV 26003(304) 234-2060(304) 234-2070 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2022, Jan 13, 2021, Jul 6, 2018 (3 updates tracked since 2018).

About Dr. Raymond A Hinerman Dds, M.d. NPPES

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

DR. RAYMOND A HINERMAN DDS, M.D. (NPI 1235233784) is an individual otolaryngology provider in Wheeling, West Virginia, licensed in West Virginia (21809) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of West Virginia University School Of Medicine (2000).

NPPES Registry Identity

NPI1235233784
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RAYMOND A HINERMANCredential: DDS, M.D.
Location Address30 MEDICAL PARK STE 223Wheeling, WV 26003-6391
Mailing Address800 Wheeling AveGlen Dale, WV 26038-1660 · (304) 221-4541
Phone(304) 234-2060
Fax(304) 234-2070
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2000
Enumeration DateSeptember 12, 2006
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1235233784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WV · 21809
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
30 MEDICAL PARK STE 223, Wheeling, WV 26003
Open in Google Maps ↗

Other Identifiers 2

Medicaid1235233784VA
Medicaid3810001769WV

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raymond A Hinerman Dds, 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 ID6204881097
PECOS Enrollment IDI20050315000244, I20251024003437, I20251028002880
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

3

Medicare enrollment records show Raymond Hinerman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeling Hospital Inc
0.8 mi
Family Medicine
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 82 clinicians in this Medicare group
NPI 1548923923 (304) 243-3000
Reynolds Memorial Hospital Inc
2.5 mi
Surgery
109 MOUNT WOOD RD
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 275 clinicians in this Medicare group
NPI 1457657991 (304) 233-2455
Poudre Valley Medical Group, LLC
1,282 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

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 6

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.
115 services82 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
67 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
29 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

EMILY TAYLOR MATTESON
Physician Assistant
30 MEDICAL PARK STE 223
WHEELING, WV 26003
Ohio County (304) 243-7928
DR. MANHAL M TANNOUS MD
Internal Medicine (Gastroenterology)
30 MEDICAL PARK STE 223
WHEELING, WV 26003
Ohio County (304) 243-7928

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 Raymond Hinerman's NPI number?

The NPI number for Raymond Hinerman is 1235233784. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Raymond Hinerman located?

Raymond Hinerman practices at 30 Medical Park Ste 223, Wheeling, WV 26003. The listed phone number is (304) 234-2060.

What is Raymond Hinerman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Raymond Hinerman enrolled in Medicare?

Yes. Raymond Hinerman 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.

Which organizations bill Medicare for Raymond Hinerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Hinerman reassigns Medicare benefits to 3 organizations: Wheeling Hospital Inc (Wheeling, WV), Reynolds Memorial Hospital Inc (Wheeling, WV) and Poudre Valley Medical Group, LLC (Loveland, CO). 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 Raymond Hinerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Hinerman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare and Select Health list Raymond Hinerman 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 Raymond Hinerman affiliated with any hospitals?

According to CMS data, Raymond Hinerman is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Raymond Hinerman was last updated on April 6, 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.