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ANDREA C HINTON MD
NPI 1639177199
Obstetrics & Gynecology - Maternal & Fetal Medicine in Cincinnati, OH

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
375 DIXMYTH AVE, 8TH FLOOR, CINCINNATI, OH 45220(513) 862-6200(513) 862-4358 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea C Hinton Md NPPES

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

ANDREA C HINTON MD (NPI 1639177199) is an individual maternal & fetal medicine provider in Cincinnati, Ohio, licensed in Ohio (35081343H) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1639177199
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameANDREA C HINTONCredential: MD
Location Address375 DIXMYTH AVE, 8TH FLOORCincinnati, OH 45220-2475
Mailing Address4685 Forest Ave CCincinnati, OH 45212-3359 · (513) 853-4731 · Fax (513) 852-8525
Phone(513) 862-6200
Fax(513) 862-4358
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1998
Enumeration DateJuly 8, 2005
Last NPPES UpdateNovember 15, 2019
✔ NPI 1639177199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in OH · 35081343H✔ Licensed in KY · 39738
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
375 DIXMYTH AVE, Cincinnati, OH 45220
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 301-2445 · Fax (859) 344-5552

Other Identifiers 1

Medicaid2406168OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Andrea C Hinton 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 ID143262501
PECOS Enrollment IDI20050525000860, I20080327000448
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.

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

ERYNNE HAMILTON ARPN
Nurse Practitioner (Neonatal)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-2514
VICTORIA ELIZABETH SIMON MD
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562
JACOB CANNAN
Pharmacist (Critical Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
MR. CASEY MCCONNELL GILMORE PA-C
Physician Assistant
375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE
CINCINNATI, OH 45220
Hamilton County (513) 862-2989
ABIGAIL FAITH SOUTHALL APRN, AGACNP
Nurse Practitioner (Acute Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
JAMES M MERANUS MD
Radiology (Diagnostic Radiology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 965-8041
DR. COLLIN MICHAEL HERMAN MD
Psychiatry & Neurology (Neurology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 865-2246
CHASE GREEN DO
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562

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 Andrea Hinton's NPI number?

The NPI number for Andrea Hinton is 1639177199. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Andrea Hinton located?

Andrea Hinton practices at 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220. The listed phone number is (513) 862-6200.

What is Andrea Hinton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Andrea Hinton enrolled in Medicare?

Yes. Andrea Hinton 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 Andrea Hinton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Andrea Hinton 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 Andrea Hinton affiliated with any hospitals?

According to CMS data, Andrea Hinton is affiliated with Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Hinton was last updated on November 15, 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.