DR. KEITH A HINSHAW MD
NPI 1336128008
Surgery in Rochester Hills, MI

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
75 BARCLAY CIR, SUITE 200, ROCHESTER HILLS, MI 48307(248) 853-9177(248) 853-7258 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Keith A Hinshaw Md NPPES

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

DR. KEITH A HINSHAW MD (NPI 1336128008) is an individual surgery provider in Rochester Hills, Michigan, licensed in Michigan (4301046363) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (1982).

NPPES Registry Identity

NPI1336128008
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KEITH A HINSHAWCredential: MD
Location Address75 BARCLAY CIR, SUITE 200Rochester Hills, MI 48307-4508
Mailing Address75 Barclay Cir, Suite 200Rochester Hills, MI 48307-4508 · (248) 853-9177 · Fax (248) 853-7258
Fax(248) 853-7258
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1982
Enumeration DateJanuary 11, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1336128008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301046363
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

75 BARCLAY CIR, Rochester Hills, MI 48307

Other Identifiers 1

Medicaid438697710MI

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. Keith A Hinshaw 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.

PECOS PAC ID1153457882
PECOS Enrollment IDI20101004000084
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
310 services119 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
134 services126 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services65 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.
49 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services34 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%104 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
2 suppliers12 claims540 services$1.64 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 20

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

Pediatrics
75 BARCLAY CIR, SUITE 115
ROCHESTER HILLS, MI 48307
Internal Medicine
75 BARCLAY CIR, SUITE 230
ROCHESTER HILLS, MI 48307
Surgery
75 BARCLAY CIR, SUITE 200
ROCHESTER HILLS, MI 48307
Psychiatry & Neurology (Neurology)
75 BARCLAY CIR, SUITE 230
ROCHESTER HILLS, MI 48307
Internal Medicine (Pulmonary Disease)
75 BARCLAY CIR, SUITE 205
ROCHESTER HILLS, MI 48307
Ophthalmology
75 BARCLAY CIR, SUITE 100
ROCHESTER HILLS, MI 48307
Pediatrics
75 BARCLAY CIR, STE 115
ROCHESTER HILLS, MI 48307
Internal Medicine
75 BARCLAY CIR
ROCHESTER HILLS, MI 48307

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 Keith Hinshaw's NPI number?

The NPI number for Keith Hinshaw is 1336128008. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Keith Hinshaw located?

Keith Hinshaw practices at 75 Barclay Cir Suite 200, Rochester Hills, MI 48307. The listed phone number is (248) 853-9177.

What is Keith Hinshaw's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Keith Hinshaw enrolled in Medicare?

Yes. Keith Hinshaw 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 Keith Hinshaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Keith Hinshaw 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 Keith Hinshaw affiliated with any hospitals?

According to CMS data, Keith Hinshaw is affiliated with Beaumont Hospital Royal Oak, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Keith Hinshaw was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.