THOMAS RANDALL HINES M.D.
NPI 1336141670
Family Medicine in Amarillo, TX

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
25 MEDICAL DR, AMARILLO, TX 79106(806) 677-0500(806) 677-0860 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas Randall Hines M.d. NPPES

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

THOMAS RANDALL HINES M.D. (NPI 1336141670) is an individual family medicine provider in Amarillo, Texas, licensed in Texas (K6469) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and maintains a secondary practice location in Amarillo.

NPPES Registry Identity

NPI1336141670
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS RANDALL HINESCredential: M.D.
Location Address25 MEDICAL DRAmarillo, TX 79106
Mailing Address25 Medical DrAmarillo, TX 79106-4169 · (806) 677-0500 · Fax (806) 677-0860
Fax(806) 677-0860
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1997
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 21, 2018
✔ NPI 1336141670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K6469
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25 MEDICAL DR, Amarillo, TX 79106

Secondary Practice Location 1

Location 13501 S Soncy Rd, Ste 1002Amarillo, TX 79119-4932 · Phone (806) 677-0500 · Fax (806) 677-0860

Other Identifiers 5

Other0025LETX · Blue Cross Of Texas
Medicaid164624201TX
Medicaid164624202TX
Other11518101TX · First Care/sw Life
Other200172742TX · Humana Military

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

Thomas Randall 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 ID840273512
PECOS Enrollment IDI20040612000526
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 Reassignment

Medicare enrollment records show Thomas Hines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
1665 ANTILLEY RD, # 200
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • 83 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.

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.
153 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services29 patients

Hospital Affiliations CMS Care Compare

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$54.37 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers19 claims102 services$2.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims38 services$88.20 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.87 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 3

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

Durable Medical Equipment & Medical Supplies
25 MEDICAL DR, SUITE B
AMARILLO, TX 79106
Pharmacy (Community/Retail Pharmacy)
25 MEDICAL DR
AMARILLO, TX 79106
Pharmacist
25 MEDICAL DR, REMEDIES PHARMACY
AMARILLO, TX 79106

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 Thomas Hines's NPI number?

The NPI number for Thomas Hines is 1336141670. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Thomas Hines located?

Thomas Hines practices at 25 Medical Dr, Amarillo, TX 79106. The listed phone number is (806) 677-0500.

What is Thomas Hines's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Hines enrolled in Medicare?

Yes. Thomas 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.

Which organization bills Medicare for Thomas Hines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Hines reassigns Medicare benefits to Privia Medical Group West Texas, PLLC (Abilene, TX). The 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 Thomas Hines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Hines accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Thomas 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 Thomas Hines affiliated with any hospitals?

According to CMS data, Thomas Hines is affiliated with Bsa Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Hines was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.