DR. HEATHER HINSHELWOOD MD
NPI 1235289984
Emergency Medicine in Hiltonhead, SC

Active since January 12, 2007PECOS Enrolled
100/100
CMS Quality Rating
1403 MAINSTREET, HILTONHEAD, SC 29926(407) 637-0455 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Heather Hinshelwood Md NPPES

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

DR. HEATHER HINSHELWOOD MD (NPI 1235289984) is an individual emergency medicine provider in Hiltonhead, South Carolina, licensed in South Carolina (MD37770) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235289984
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. HEATHER HINSHELWOODCredential: MD
Location Address1403 MAINSTREETHiltonhead, SC 29926
Mailing Address1403 MainstreetHiltonhead, SC 29926 · (843) 618-7777 · Fax (843) 681-7775
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1235289984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in SC · MD37770✔ Licensed in GA · 060271✔ Licensed in FL · ME 102798
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.
1403 MAINSTREET, Hiltonhead, SC 29926

Accepted 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. Heather Hinshelwood 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

4

Medicare enrollment records show Heather Hinshelwood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
851042 US HIGHWAY 17, UFJP YULEE FAMILY PRACTICE
Yulee, FL 32097
  • Reassigned Medicare billing, Florida enrollment
  • 573 clinicians in this Medicare group
Emergency Medicine
111 N ORANGE AVE STE 800
Orlando, FL 32801
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
Emergency Medicine
110 LONGWOOD AVE
Rockledge, FL 32955
  • Reassigned Medicare billing, Florida enrollment
  • 77 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 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 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.

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.
53 services51 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

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 Heather Hinshelwood's NPI number?

The NPI number for Heather Hinshelwood is 1235289984. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Heather Hinshelwood located?

Heather Hinshelwood practices at 1403 Mainstreet, Hiltonhead, SC 29926. The listed phone number is (407) 637-0455.

What is Heather Hinshelwood's specialty?

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

Is Heather Hinshelwood enrolled in Medicare?

Yes. Heather Hinshelwood is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Hinshelwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Hinshelwood reassigns Medicare benefits to 4 organizations: University Of Florida Jacksonville Physicians, Inc. (Yulee, FL), Tele911 Florida Emergency Medical Group, P.A. (Orlando, FL), Floridian Emergency Specialists, LLC (Rockledge, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Heather Hinshelwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Hinshelwood accept?

Health plans from Oscar Health Maintenance Organization of Florida list Heather Hinshelwood 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 Heather Hinshelwood was last updated on December 28, 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.