1. Home
  2. Directory
  3. Michigan
  4. Kalamazoo
  5. Pathology
  6. NPI Profile

JEFFREY LEWIS HINSON D.O.
NPI 1518175728
Pathology - Anatomic Pathology & Clinical Pathology in Kalamazoo, MI

Active since May 19, 2007PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
601 JOHN ST, KALAMAZOO, MI 49007(269) 341-7654 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2021, Sep 5, 2019 (2 updates tracked since 2019).

About Jeffrey Lewis Hinson D.o. NPPES

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

JEFFREY LEWIS HINSON D.O. (NPI 1518175728) is an individual anatomic pathology & clinical pathology provider in Kalamazoo, Michigan, licensed in Kentucky (R1174) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518175728
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJEFFREY LEWIS HINSONCredential: D.O.
Location Address601 JOHN STKalamazoo, MI 49007
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325
Phone(269) 341-7654
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2009
Enumeration DateMay 19, 2007
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1518175728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in KY · R1174
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
601 JOHN ST, Kalamazoo, MI 49007
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1University Of Kentucky, 800 Rose Street, Suite MS-117Lexington, KY 40536-0298 · Phone (859) 323-5425 · Fax (859) 323-2094
Location 21234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 983-8300

Other Identifiers 1

Medicaid1518175728MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Lewis Hinson 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 ID1456547173
PECOS Enrollment IDI20101119001216
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 Reassignments

4

Medicare enrollment records show Jeffrey Hinson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Pathology Services Of Southwest Michigan PC
Same address
Anatomic Pathology & Clinical Pathology
601 JOHN ST
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1912241597 (269) 341-7654
Patholgy Services Of Kalamazoo, PC
Same address
Anatomic Pathology & Clinical Pathology
601 JOHN ST
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
NPI 1548243595 (269) 341-7654
Bronson Methodist Hospital
4.7 mi
Physician Assistant
6220 W MAIN ST
Kalamazoo, MI 49009
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group
NPI 1013089820 (269) 552-4212
Southwest Michigan Pathology Services, PC
48 mi
Anatomic Pathology & Clinical Pathology
1234 NAPIER AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group
NPI 1467944181 (269) 983-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
648 services317 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
352 services71 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
127 services32 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
108 services56 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
103 services93 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
96 services83 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.14
Improvement Activities40
Cost78.74

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…
100%41 patients
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.

DR. AMANDA KEATING WALKER D.O.
Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7979
ANDREW W. WALKER MD
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (847) 404-6853
JUSTINE MELODIE OUDSEMA PA-C
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8481
OCHUKO ANDREW OGHOR CRNA
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (239) 341-7654
MARK J TIESZEN MD
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7762
DR. ERIC S SHAY M.D.
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Kalamazoo County (269) 381-5060
EVGENIIA MORLEY RD
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Kalamazoo County (269) 341-6615
SELECT HOSPITALISTS, PLLC
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7100

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 Jeffrey Hinson's NPI number?

The NPI number for Jeffrey Hinson is 1518175728. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Where is Jeffrey Hinson located?

Jeffrey Hinson practices at 601 John St, Kalamazoo, MI 49007. The listed phone number is (269) 341-7654.

What is Jeffrey Hinson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jeffrey Hinson enrolled in Medicare?

Yes. Jeffrey Hinson 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.

Which organizations bill Medicare for Jeffrey Hinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hinson reassigns Medicare benefits to 4 organizations: Diagnostic Pathology Services Of Southwest Michigan PC (Kalamazoo, MI), Patholgy Services Of Kalamazoo, PC (Kalamazoo, MI), Bronson Methodist Hospital (Kalamazoo, MI) and Southwest Michigan Pathology Services, PC (Saint Joseph, MI). Each 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 Jeffrey Hinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Hinson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jeffrey Hinson 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 Jeffrey Hinson affiliated with any hospitals?

According to CMS data, Jeffrey Hinson is affiliated with Bronson Methodist Hospital and Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Jeffrey Hinson was last updated on October 1, 2021. 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.