SYLVIA KIM HINTON
NPI 1356951057
Physician Assistant in Fresno, CA

Active since August 06, 2020PECOS Enrolled
94.62/100
CMS Quality Rating
1303 E HERNDON AVE, FRESNO, CA 93720(559) 450-7055 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2023, Aug 6, 2020 (2 updates tracked since 2020).

About Sylvia Kim Hinton NPPES

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

SYLVIA KIM HINTON (NPI 1356951057) is an individual physician assistant in Fresno, California and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356951057
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSYLVIA KIM HINTON
Location Address1303 E HERNDON AVEFresno, CA 93720-3309
Mailing Address1303 E Herndon AveFresno, CA 93720-3309 · (559) 450-7055
Sole ProprietorNo
Enumeration DateAugust 6, 2020
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1356951057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1303 E HERNDON AVE, Fresno, CA 93720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sylvia Kim Hinton 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
76 services70 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services43 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.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Nuclear Medicine (Nuclear Imaging & Therapy)
1303 E HERNDON AVE
FRESNO, CA 93720
Emergency Medicine
1303 E HERNDON AVE
FRESNO, CA 93720
Nurse Practitioner
1303 E HERNDON AVE
FRESNO, CA 93720
Nurse Practitioner
1303 E HERNDON AVE
FRESNO, CA 93720
Emergency Medicine
1303 E HERNDON AVE
FRESNO, CA 93720
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356951057, enumerated as an "individual" on August 06, 2020.

The provider is located at 1303 E HERNDON AVE FRESNO, CA 93720 and the phone number is (559) 450-7055.

Physician Assistant with taxonomy code 363A00000X.