OSCAR JOE HINES MD
NPI 1497779581
Surgery in Los Angeles, CA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
88.89/100
CMS Quality Rating
200 UCLA MEDICAL PLZ STE 214, LOS ANGELES, CA 90095(310) 794-7788(310) 794-3344 Get Directions Write a Review

NPPES record last updated: December 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oscar Joe Hines Md NPPES

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

OSCAR JOE HINES MD (NPI 1497779581) is an individual surgery provider in Los Angeles, California, licensed in California (G77151) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1990).

NPPES Registry Identity

NPI1497779581
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameOSCAR JOE HINESCredential: MD
Location Address200 UCLA MEDICAL PLZ STE 214Los Angeles, CA 90095-0001
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631
Fax(310) 794-3344
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1990
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 26, 2019
NPI 1497779581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · G77151
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
200 UCLA MEDICAL PLZ STE 214, Los Angeles, CA 90095

Other Identifiers 1

Medicaid00G771510CA

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

Oscar Joe Hines Md 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 ID5597817452
PECOS Enrollment IDI20090723000546
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 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.
26 services24 patients
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.
20 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

88.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.31
Promoting Interoperability100
Improvement Activities40
Cost57.51

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.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers13 claims620 services$4.72 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers12 claims237 services$2.51 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 20

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

Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Colon & Rectal Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Dietitian, Registered
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Dietitian, Registered
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Surgery
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095
Internal Medicine
200 UCLA MEDICAL PLZ STE 214
LOS ANGELES, CA 90095

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 Oscar Hines's NPI number?

The NPI number for Oscar Hines is 1497779581. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Oscar Hines located?

Oscar Hines practices at 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095. The listed phone number is (310) 794-7788.

What is Oscar Hines's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Oscar Hines enrolled in Medicare?

Yes. Oscar 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.

When was this NPI record last updated?

The NPPES record for Oscar Hines was last updated on December 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.