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MICHAEL HINTON MD
NPI 1376283440
Family Medicine in Indianapolis, IN

Active since March 29, 2022PECOS Enrolled
5255 E STOP 11 RD STE 310, INDIANAPOLIS, IN 46237(317) 781-1133(317) 528-7099 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Hinton Md NPPES

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

MICHAEL HINTON MD (NPI 1376283440) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01092034A) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Muncie, and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1376283440
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL HINTONCredential: MD
Location Address5255 E STOP 11 RD STE 310Indianapolis, IN 46237-6341
Mailing AddressPo Box 781076Detroit, MI 48278-1008 · (317) 528-4800 · Fax (317) 865-1479
Phone(317) 781-1133
Fax(317) 528-7099
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1376283440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01092034A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5255 E STOP 11 RD STE 310, Indianapolis, IN 46237
Open in Google Maps ↗

Secondary Practice Location 1

Location 1221 N Celia AveMuncie, IN 47303-4609 · Phone (765) 747-3141 · Fax (765) 741-2977

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Hinton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527448281
PECOS Enrollment IDI20260805004150
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 Michael Hinton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Physician Network
0.1 mi
Family Medicine
8111 S EMERSON AVE
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1225327984 (317) 528-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

BENJAMIN FRANKLIN KOPECKY DO
Physical Medicine & Rehabilitation
5255 E STOP 11 RD STE 310
INDIANAPOLIS, IN 46237
Marion County (317) 781-1133
CATHERINE MARIE REESE M.D.
Family Medicine (Sports Medicine)
5255 E STOP 11 RD STE 310
INDIANAPOLIS, IN 46237
Marion County (317) 781-1133
JOSEPH RICHARDVILLE M.D.
Family Medicine (Sports Medicine)
5255 E STOP 11 RD STE 310
INDIANAPOLIS, IN 46237
Marion County (317) 781-1133
DR. JENNA ELISE WALLS M.D.
Family Medicine (Sports Medicine)
5255 E STOP 11 RD STE 310
INDIANAPOLIS, IN 46237
Marion County (317) 781-1133

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 Michael Hinton's NPI number?

The NPI number for Michael Hinton is 1376283440. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Michael Hinton located?

Michael Hinton practices at 5255 E Stop 11 Rd Ste 310, Indianapolis, IN 46237. The listed phone number is (317) 781-1133.

What is Michael Hinton's specialty?

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

Is Michael Hinton enrolled in Medicare?

Yes. Michael Hinton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Hinton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hinton reassigns Medicare benefits to Franciscan Physician Network (Indianapolis, IN). 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 Michael Hinton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hinton accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Hinton 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.

When was this NPI record last updated?

The NPPES record for Michael Hinton was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.