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DR. MICHAEL WESTON HINES MD
NPI 1619951803
Ophthalmology - Retina Specialist in Gainesville, FL

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6400 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32605(352) 333-5050(352) 248-2228 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Weston Hines Md NPPES

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

DR. MICHAEL WESTON HINES MD (NPI 1619951803) is an individual retina specialist in Gainesville, Florida, licensed in Florida (ME0045028) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1982).

NPPES Registry Identity

NPI1619951803
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. MICHAEL WESTON HINESCredential: MD
Location Address6400 W NEWBERRY RD, SUITE 301Gainesville, FL 32605-6605
Mailing Address6400 Newberry Rd, Suite 301Gainesville, FL 32605-6603 · (352) 333-5050 · Fax (352) 248-2228
Phone(352) 333-5050
Fax(352) 248-2228
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1982
Enumeration DateDecember 1, 2005
Last NPPES UpdateMay 23, 2018
✔ NPI 1619951803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in FL · ME0045028
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
6400 W NEWBERRY RD, Gainesville, FL 32605
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Other Identifiers 1

Medicaid25161000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), UnitedHealthcare.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. Michael Weston 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 ID3577708957
PECOS Enrollment IDI20130408000355
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 10

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
3,480 services11 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,350 services544 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
972 services170 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
830 services80 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
629 services425 patients
Unclassified drugs J3490
Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.
461 services117 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%71 patients5/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
94%71 patients4/55-star benchmark: 98%
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%649 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%485 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%425 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%386 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%548 patients5/55-star benchmark: 99%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%548 patients5/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 93% · 91 patients
99%91 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
20%548 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%548 patients1/55-star benchmark: 59%
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.

NORTH FLORIDA REGIONAL OTOLARYNGOLOGY, LLC
Otolaryngology
6400 W NEWBERRY RD, SUITE 101 MAB
GAINESVILLE, FL 32605
Alachua County (352) 333-5961
JAMES W DEFORD MD
Internal Medicine (Gastroenterology)
6400 W NEWBERRY RD, SUITE 302
GAINESVILLE, FL 32605
Alachua County (352) 331-8902
JOHN ROBERT LEIBACH MD
Internal Medicine (Gastroenterology)
6400 W NEWBERRY RD, SUITE 302
GAINESVILLE, FL 32605
Alachua County (352) 331-8902
DR. JOHN I JONES III M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6400 W NEWBERRY RD, SUITE 103
GAINESVILLE, FL 32605
Alachua County (352) 333-5440
DENNIS PATRICK COLLINS MD
Internal Medicine (Gastroenterology)
6400 W NEWBERRY RD, SUITE 302
GAINESVILLE, FL 32605
Alachua County (352) 331-8902
LINDA JULIET ARMADA RD LD/N
Nutritionist
6400 W NEWBERRY RD, SUITE 107
GAINESVILLE, FL 32605
Alachua County (352) 333-5141
RENATA WAJSMAN MD
Internal Medicine (Gastroenterology)
6400 W NEWBERRY RD, STE 302
GAINESVILLE, FL 32605
Alachua County (352) 331-8902
ENRIQUE G. MOLINA MD
Internal Medicine (Gastroenterology)
6400 W NEWBERRY RD, SUITE 302
GAINESVILLE, FL 32605
Alachua County (352) 331-8902

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 Michael Hines's NPI number?

The NPI number for Michael Hines is 1619951803. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Michael Hines located?

Michael Hines practices at 6400 W Newberry Rd Suite 301, Gainesville, FL 32605. The listed phone number is (352) 333-5050.

What is Michael Hines's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Michael Hines enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Hines accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and UnitedHealthcare list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Hines was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.