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MARC E HINES M.D.
NPI 1265434674
Psychiatry & Neurology - Neurology in Ottumwa, IA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
1313 N COURT ST, SUITE B, OTTUMWA, IA 52501(641) 682-4978(641) 682-0722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc E Hines M.d. NPPES

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

MARC E HINES M.D. (NPI 1265434674) is an individual neurology provider in Ottumwa, Iowa, licensed in Iowa (23551) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and is a graduate of Baylor College Of Medicine (1979).

NPPES Registry Identity

NPI1265434674
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMARC E HINESCredential: M.D.
Location Address1313 N COURT ST, SUITE BOttumwa, IA 52501-1911
Mailing Address1313 N Court St, Suite BOttumwa, IA 52501-1911 · (641) 682-4978 · Fax (641) 682-0722
Phone(641) 682-4978
Fax(641) 682-0722
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1979
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265434674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IA · 23551
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1313 N COURT ST, Ottumwa, IA 52501
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Other Identifiers 4

Other42-1298027Irs Taxpayer Ein
Medicare UPINA02213
Medicaid3205153IA
Medicare ID-Type UnspecifiedI9881IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Marc E Hines 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 ID8820988249
PECOS Enrollment IDI20040618001337
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 3

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 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.
90 services52 patients
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.
70 services40 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
39 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number160040
Location515 College StreetCedar Falls, IA 50613 · Black Hawk County
Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

MRS. LACI MORRISSEY M.A., LMHC, NCC
Counselor (Mental Health)
1313 N COURT ST
OTTUMWA, IA 52501
Wapello County (641) 455-9167
OTTUMWA NEUROLOGICAL ASSOCIATES, PC
Nurse Practitioner
1313 N COURT ST, SUITE B
OTTUMWA, IA 52501
Wapello County (641) 682-4978

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 Marc Hines's NPI number?

The NPI number for Marc Hines is 1265434674. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Marc Hines located?

Marc Hines practices at 1313 N Court St Suite B, Ottumwa, IA 52501. The listed phone number is (641) 682-4978.

What is Marc Hines's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marc Hines enrolled in Medicare?

Yes. Marc Hines 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 Marc Hines accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Marc Hines 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 Marc Hines affiliated with any hospitals?

According to CMS data, Marc Hines is affiliated with Sartori Memorial Hospital, Inc and Mercyone Waterloo Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Hines was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.