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DR. POLLY J. HINEMAN D.O.
NPI 1376527606
Internal Medicine in Toledo, IA

Active since November 30, 2005PECOS Enrolled
401 1ST AVE, TOLEDO, IA 52342(641) 484-2602(641) 484-6837 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Polly J. Hineman D.o. NPPES

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

DR. POLLY J. HINEMAN D.O. (NPI 1376527606) is an individual internal medicine provider in Toledo, Iowa, licensed in Iowa (02103) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376527606
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. POLLY J. HINEMANCredential: D.O.
Location Address401 1ST AVEToledo, IA 52342-2129
Mailing Address401 1st AveToledo, IA 52342-2129 · (641) 484-2602 · Fax (641) 484-6837
Phone(641) 484-2602
Fax(641) 484-6837
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateAugust 31, 2016
✔ NPI 1376527606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · 02103
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
401 1ST AVE, Toledo, IA 52342
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Other Identifiers 2

Medicare UPINE67803IA
Medicare PINI10071IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Polly J. Hineman D.o. 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.

Medicare Billing Reassignment

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

Unitypoint Health - Marshalltown
22 mi
Emergency Medicine
55 UNITYPOINT WAY
Marshalltown, IA 50158
  • Reassigned Medicare billing, Iowa enrollment
  • 214 clinicians in this Medicare group
NPI 1164957593 (641) 754-5145

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 52342 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers35 claims66 services$5.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$19.69 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
4 suppliers62 claims62 services$111.71 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers23 claims1,740 services$0.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.93 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers16 claims16 services$24.54 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 5

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

GRINNELL REGIONAL MEDICAL CENTER
Family Medicine
401 1ST AVE
TOLEDO, IA 52342
Tama County (641) 484-2602
DEER CREEK HEALTH CENTER, LLC
Family Medicine
401 1ST AVE
TOLEDO, IA 52342
Tama County (641) 484-2602
DEER CREEK HEALTH CENTER, LLC
Clinic/Center (Rural Health)
401 1ST AVE
TOLEDO, IA 52342
Tama County (641) 484-2602
SHERRY L PARKS PA C
Physician Assistant (Medical)
401 1ST AVE
TOLEDO, IA 52342
Tama County (641) 484-2602
DARYL C ALLISON PAC
Physician Assistant
401 1ST AVE
TOLEDO, IA 52342
Tama County (641) 484-2602

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 Polly Hineman's NPI number?

The NPI number for Polly Hineman is 1376527606. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Polly Hineman located?

Polly Hineman practices at 401 1st Ave, Toledo, IA 52342. The listed phone number is (641) 484-2602.

What is Polly Hineman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Polly Hineman enrolled in Medicare?

Yes. Polly Hineman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Polly Hineman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polly Hineman reassigns Medicare benefits to Unitypoint Health - Marshalltown (Marshalltown, IA). 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 Polly Hineman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Polly Hineman was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.