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JOSEPH L HINES M.D.
NPI 1427343201
Family Medicine in Huntingdon, PA

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment
46.78/100
CMS Quality Rating
3228 COLD SPRINGS RD, HUNTINGDON, PA 16652(814) 643-6462(814) 643-0901 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Apr 19, 2021 (2 updates tracked since 2021).

About Joseph L Hines M.d. NPPES

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

JOSEPH L HINES M.D. (NPI 1427343201) is an individual family medicine provider in Huntingdon, Pennsylvania, licensed in Pennsylvania (MD449157) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and maintains a secondary practice location in Altoona.

NPPES Registry Identity

NPI1427343201
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH L HINESCredential: M.D.
Location Address3228 COLD SPRINGS RDHuntingdon, PA 16652-2721
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6144
Phone(814) 643-6462
Fax(814) 643-0901
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 9, 2011
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1427343201 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 PA · MD449157
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 ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License MD449157 (PA)
3228 COLD SPRINGS RD, Huntingdon, PA 16652
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Secondary Practice Location 1

Location 1501 Howard Ave, SUITE F4Altoona, PA 16601-4882 · Phone (814) 889-2701 · Fax (814) 889-7864

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

Joseph L 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 ID4789996919
PECOS Enrollment IDI20150701000798
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 5

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.
222 services154 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services62 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
35 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16652 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

46.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality17.39
Improvement Activities40
Cost51.45

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
66%32 patients3/55-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 2

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

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
1 supplier12 claims12 services$82.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.91 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 10

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

KAHLEE HALL PHARMD
Pharmacist
3228 COLD SPRINGS RD
HUNTINGDON, PA 16652
Huntingdon County (814) 643-6462
COLD SPRINGS MEDICAL LABORATORY
Clinical Medical Laboratory
3228 COLD SPRINGS RD
HUNTINGDON, PA 16652
Huntingdon County (814) 643-6462
TROUGH CREEK FAMILY PRACTICE
Family Medicine
3228 COLD SPRINGS RD
HUNTINGDON, PA 16652
Huntingdon County (814) 644-0605
LAURA J SIEMS MD
Family Medicine
3228 COLD SPRINGS RD
HUNTINGDON, PA 16652
Huntingdon County (814) 643-6462
GEISINGER CLINIC
Internal Medicine
3228 COLD SPRINGS RD
HUNTINGDON, PA 16652
Huntingdon County (570) 271-5555
WILLIAM L BRESSLER M.D.
Internal Medicine
3228 COLD SPRINGS RD, COLD SPRINGS MEDICAL BUILDING
HUNTINGDON, PA 16652
Huntingdon County (814) 643-6241
DR. RICHARD S. BUZA M.D.
Family Medicine
3228 COLD SPRINGS RD
HUNTINGDON, PA 16652
Huntingdon County (814) 643-6463
JENNIFER LEE VANCE CRNP
Nurse Practitioner
3228 COLD SPRINGS RD
HUNTINGDON, PA 16652
Huntingdon County (814) 643-6462

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 Joseph Hines's NPI number?

The NPI number for Joseph Hines is 1427343201. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Joseph Hines located?

Joseph Hines practices at 3228 Cold Springs Rd, Huntingdon, PA 16652. The listed phone number is (814) 643-6462.

What is Joseph Hines's specialty?

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

Is Joseph Hines enrolled in Medicare?

Yes. Joseph 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.

Is Joseph Hines affiliated with any hospitals?

According to CMS data, Joseph Hines is affiliated with Geisinger Medical Center, Geisinger-Lewistown Hospital and Penn Highlands Huntingdon.

When was this NPI record last updated?

The NPPES record for Joseph Hines was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.