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DR. SUSAN JEAN HINES
NPI 1619947215
Internal Medicine - Medical Oncology in Mount Airy, NC

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
1908 CAUDLE DR STE 200, MOUNT AIRY, NC 27030(336) 783-6935(336) 783-6934 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2024, Jul 11, 2024, Aug 18, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Susan Jean Hines NPPES

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

DR. SUSAN JEAN HINES (NPI 1619947215) is an individual medical oncology provider in Mount Airy, North Carolina, licensed in North Carolina (2000-00229) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Mount Airy.

NPPES Registry Identity

NPI1619947215
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. SUSAN JEAN HINES
Location Address1908 CAUDLE DR STE 200Mount Airy, NC 27030-4322
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 783-6935
Fax(336) 783-6934
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1987
Enumeration DateJanuary 25, 2006
Last NPPES UpdateNovember 16, 20244 updates tracked since enumeration
NPPES CertifiedNovember 16, 2024
✔ NPI 1619947215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NC · 2000-00229
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 2000-00229 (NC)
1908 CAUDLE DR STE 200, Mount Airy, NC 27030
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Secondary Practice Location 1

Location 1865 W Lake Dr Ste 200Mount Airy, NC 27030-2135 · Phone (336) 783-6935 · Fax (336) 783-6934

Other Identifiers 8

Medicaid89126FMNC
Other37156Partners National Health
Medicaid006005306VA
Other126FMNC · Blue Cross Blue Shield
Other900004457Railroad Medicare
Other4474243Aetna Ppo
Other3097131Aetna Hmo
Other3608287United Health Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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

Dr. Susan Jean Hines 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 ID2062555808
PECOS Enrollment IDI20100202000882
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 Susan Hines reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
0.8 mi
Family Medicine
2133 ROCKFORD ST STE 1400
Mount Airy, NC 27030
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1659950053 (336) 673-6560
Forsyth Memorial Hospital Inc
0.8 mi
Family Medicine
2133 ROCKFORD ST, SUITE 1400
Mount Airy, NC 27030
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1043690522 (336) 719-0398
Novant Health Thomasville Medical Center LLC
33 mi
Rheumatology
1551 WESTBROOK PLAZA DR STE 200
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 719 clinicians in this Medicare group
NPI 1750036059 (336) 896-1477
Novant Health Rowan Medical Center, LLC
47 mi
Hematology & Oncology
276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 686 clinicians in this Medicare group
NPI 1063167369 (980) 302-8840

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 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.
485 services229 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
140 services69 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.
31 services31 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.
14 services14 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

Hospital Affiliations CMS Care Compare 3

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490115
Location200 Hospital DriveGalax, VA 24333 · Galax City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier50 claims1,200 services$11.27 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier50 claims350 services$280.63 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier50 claims350 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier50 claims350 services$25.09 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 4

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

CORTLAND CAROLINE VOELKEL PA-C
Physician Assistant
1908 CAUDLE DR STE 200
MOUNT AIRY, NC 27030
Surry County (336) 783-6935
KARIN FRANCES GIORDANO M.D.
Internal Medicine (Medical Oncology)
1908 CAUDLE DR STE 200
MOUNT AIRY, NC 27030
Surry County (336) 783-6935
SALLIE LYNN STALEY PA-C
Physician Assistant
1908 CAUDLE DR STE 200
MOUNT AIRY, NC 27030
Surry County (336) 783-6935
DANIEL MARGALSKI
Internal Medicine (Hematology & Oncology)
1908 CAUDLE DR STE 200
MOUNT AIRY, NC 27030
Surry County (336) 783-6935

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 Susan Hines's NPI number?

The NPI number for Susan Hines is 1619947215. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Susan Hines located?

Susan Hines practices at 1908 Caudle Dr Ste 200, Mount Airy, NC 27030. The listed phone number is (336) 783-6935.

What is Susan Hines's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Susan Hines enrolled in Medicare?

Yes. Susan 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.

Which organizations bill Medicare for Susan Hines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Hines reassigns Medicare benefits to 4 organizations: Novant Health Medical Group, LLC (Mount Airy, NC), Forsyth Memorial Hospital Inc (Mount Airy, NC), Novant Health Thomasville Medical Center LLC (Winston Salem, NC) and Novant Health Rowan Medical Center, LLC (Statesville, NC). 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 Susan Hines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Hines accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Susan Hines 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 Susan Hines affiliated with any hospitals?

According to CMS data, Susan Hines is affiliated with Northern Regional Hospital, Novant Health Forsyth Medical Center and Twin County Regional Hospital.

When was this NPI record last updated?

The NPPES record for Susan Hines was last updated on November 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.