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DR. DOUGLAS HINTZMAN D.O.
NPI 1497855753
Plastic Surgery in Lansing, MI

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
2815 S PENNSYLVANIA AVE, SUITE 5, LANSING, MI 48910(517) 372-0300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas Hintzman D.o. NPPES

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

DR. DOUGLAS HINTZMAN D.O. (NPI 1497855753) is an individual plastic surgery provider in Lansing, Michigan, licensed in Michigan (DH008735) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Michigan State University College Of Osteopathic Medicine (1979).

NPPES Registry Identity

NPI1497855753
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DOUGLAS HINTZMANCredential: D.O.
Location Address2815 S PENNSYLVANIA AVE, SUITE 5Lansing, MI 48910-3496
Mailing Address2815 S Pennsylvania Ave, Suite 5Lansing, MI 48910-3496 · (517) 372-0300
Phone(517) 372-0300
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1979
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497855753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · DH008735
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2815 S PENNSYLVANIA AVE, Lansing, MI 48910
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Other Identifiers 3

Medicare UPINA03499MI
Medicare ID-Type Unspecified5330134MI
Medicaid2607710MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Douglas Hintzman D.o. 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 ID1951590157
PECOS Enrollment IDI20110104000427
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 2

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.
50 services33 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48910 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%37 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%27 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%23 patients5/55-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.

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.

JOHN WESLEY MESKO MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2815 S PENNSYLVANIA AVE, SUITE 204
LANSING, MI 48910
Ingham County (517) 267-0200
CAPITAL CITY PAIN MANAGEMENT, PC
Pain Medicine (Pain Medicine)
2815 S PENNSYLVANIA AVE, SUITE 101
LANSING, MI 48910
Ingham County (517) 975-6625
DANIEL R MESKO DO PC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2815 S PENNSYLVANIA AVE, SUITE 204
LANSING, MI 48910
Ingham County (517) 267-0200
LAURIE ARMELAGOS
Occupational Therapist
2815 S PENNSYLVANIA AVE
LANSING, MI 48910
Ingham County (517) 975-9900
ROBYN D MESSING DO PLLC
Family Medicine
2815 S PENNSYLVANIA AVE, SUITE #107
LANSING, MI 48910
Ingham County (517) 372-2253
PAUL F GUALTIER PAC
Physician Assistant
2815 S PENNSYLVANIA AVE, STE 204
LANSING, MI 48910
Ingham County (517) 267-0200
CHARLES J TAUNT JR. DO
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2815 S PENNSYLVANIA AVE, STE 204
LANSING, MI 48910
Ingham County (517) 267-0200
PATRICK H NOUD MD PLC
Orthopaedic Surgery (Sports Medicine)
2815 S PENNSYLVANIA AVE, SUITE 204
LANSING, MI 48910
Ingham County (517) 267-0200

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 Douglas Hintzman's NPI number?

The NPI number for Douglas Hintzman is 1497855753. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Douglas Hintzman located?

Douglas Hintzman practices at 2815 S Pennsylvania Ave Suite 5, Lansing, MI 48910. The listed phone number is (517) 372-0300.

What is Douglas Hintzman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Douglas Hintzman enrolled in Medicare?

Yes. Douglas Hintzman 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 Douglas Hintzman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Douglas Hintzman 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 Douglas Hintzman affiliated with any hospitals?

According to CMS data, Douglas Hintzman is affiliated with Mclaren Greater Lansing.

When was this NPI record last updated?

The NPPES record for Douglas Hintzman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.