LATOYA SHANEIKA HINTON AGACNP-BC
NPI 1497299556
Nurse Practitioner - Adult Health in West Columbia, SC

Active since December 08, 2016PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
2728 SUNSET BLVD STE 104, WEST COLUMBIA, SC 29169(803) 256-0464(803) 254-5121 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2020, Oct 1, 2020, Aug 24, 2020 and 1 more (4 updates tracked since 2017).

About Latoya Shaneika Hinton Agacnp-bc NPPES

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

LATOYA SHANEIKA HINTON AGACNP-BC (NPI 1497299556) is an individual adult health provider in West Columbia, South Carolina, licensed in South Carolina (20632) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497299556
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLATOYA SHANEIKA HINTONCredential: AGACNP-BC
Location Address2728 SUNSET BLVD STE 104West Columbia, SC 29169-4838
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 254-5121
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 8, 2016
Last NPPES UpdateNovember 6, 20204 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
NPI 1497299556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in SC · 20632
Also ListedNurse PractitionerTaxonomy 363L00000X · License 20632 (SC)
2728 SUNSET BLVD STE 104, West Columbia, SC 29169

Accepted Insurance

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

Latoya Shaneika Hinton Agacnp-bc 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 ID7214212646
PECOS Enrollment IDI20170327000182
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 8

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.
864 services636 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
442 services404 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.
400 services374 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
101 services92 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services35 patients
Artery puncture collection of blood sample 36600
Artery puncture collection is a procedure where a thin needle is inserted into an artery, typically in your wrist, to collect a blood sample. This method often provides more accurate results for certain tests, such as oxygen and carbon dioxide levels. It's generally safe but may cause slight discomfort.
19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers307 claims307 services$32.98 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers32 claims66 services$1.20 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers20 claims20 services$12.50 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers193 claims193 services$72.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers196 claims503 services$27.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers79 claims399 services$16.34 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 15

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

Internal Medicine (Critical Care Medicine)
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169
Internal Medicine (Critical Care Medicine)
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169
Surgery
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169
Internal Medicine (Sleep Medicine)
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169
Surgery
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169
Internal Medicine (Pulmonary Disease)
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169
Internal Medicine (Pulmonary Disease)
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169
Internal Medicine (Pulmonary Disease)
2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

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 Latoya Hinton's NPI number?

The NPI number for Latoya Hinton is 1497299556. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Latoya Hinton located?

Latoya Hinton practices at 2728 Sunset Blvd Ste 104, West Columbia, SC 29169. The listed phone number is (803) 256-0464.

What is Latoya Hinton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Latoya Hinton enrolled in Medicare?

Yes. Latoya Hinton 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.

What insurance does Latoya Hinton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Latoya 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.

Is Latoya Hinton affiliated with any hospitals?

According to CMS data, Latoya Hinton is affiliated with Musc Medical Center and Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Latoya Hinton was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.