MARK M HINSON MD
NPI 1326122201
Nuclear Medicine in Marshfield, WI
About Mark M Hinson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK M HINSON MD (NPI 1326122201) is an individual nuclear medicine provider in Marshfield, Wisconsin, licensed in Wisconsin (45737) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Mark M Hinson Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mark Hinson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 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 26
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Rice Lake
Acute Care Hospitals · Rice Lake, WIMarshfield Medical Center
Acute Care Hospitals · Marshfield, WIMarshfield Medical Center - Eau Claire
Acute Care Hospitals · Eau Claire, WIMarshfield Medical Center - Minocqua
Acute Care Hospitals · Minocqua, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARSHFIELD, WI 54449
MARSHFIELD, WI 54449
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 Mark Hinson's NPI number?
The NPI number for Mark Hinson is 1326122201. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Mark Hinson located?
Mark Hinson practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 389-3555.
What is Mark Hinson's specialty?
The primary specialty registered for this NPI is Nuclear Medicine with taxonomy code 207U00000X.
Is Mark Hinson enrolled in Medicare?
Yes. Mark Hinson 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 Mark Hinson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hinson reassigns Medicare benefits to 4 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI) and Lakeview Medical Center Inc Of Rice Lake (Chetek, WI). 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 Mark Hinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Hinson accept?
Health plans from Sanford Health Plan list Mark Hinson 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 Mark Hinson affiliated with any hospitals?
According to CMS data, Mark Hinson is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Minocqua.
When was this NPI record last updated?
The NPPES record for Mark Hinson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.