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RANDY LEE HINKLE MD
NPI 1659319523
Family Medicine in Westerville, OH

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
300 POLARIS PKWY, STE 3000, WESTERVILLE, OH 43082(614) 533-3354(614) 533-3377 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randy Lee Hinkle Md NPPES

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

RANDY LEE HINKLE MD (NPI 1659319523) is an individual family medicine provider in Westerville, Ohio, licensed in Ohio (35-006223) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1994).

NPPES Registry Identity

NPI1659319523
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDY LEE HINKLECredential: MD
Location Address300 POLARIS PKWY, STE 3000Westerville, OH 43082-7989
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(614) 533-3354
Fax(614) 533-3377
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1994
Enumeration DateJune 3, 2006
Last NPPES UpdateJanuary 5, 2022
✔ NPI 1659319523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-006223
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 POLARIS PKWY, Westerville, OH 43082
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Other Identifiers 2

Other080107309OH · Railroad Medicare Pin
Medicaid2018300OH

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

Randy Lee Hinkle 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 ID4789713348
PECOS Enrollment IDI20100520000494
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 11

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.
334 services156 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
163 services163 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.
145 services100 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
32 services32 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
18 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers46 claims112 services$6.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims22 services$1.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$51.79 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers16 claims16 services$12.19 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers14 claims80 services$1.65 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers30 claims31 services$190.65 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 20

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

DR. DAVID BRIAN MCCLURE M.D.
Internal Medicine
300 POLARIS PKWY, STE 3400
WESTERVILLE, OH 43082
Delaware County (614) 533-3475
DR. KATIE EILEEN STEELE M.D.
Obstetrics & Gynecology
300 POLARIS PKWY, SUITE 2600
WESTERVILLE, OH 43082
Delaware County (614) 659-9519
KELSIE STEINMETZ
Physical Therapist
300 POLARIS PKWY
WESTERVILLE, OH 43082
Delaware County (614) 776-0970
MICHAEL GENCO PT, DPT
Physical Therapist
300 POLARIS PKWY
WESTERVILLE, OH 43082
Delaware County (614) 533-3200
JESSICA ROOT DPT
Physical Therapist
300 POLARIS PKWY
WESTERVILLE, OH 43082
Delaware County (614) 776-0970
DR. KRISTEN MICHELLE DIMITRIS M.D.
Family Medicine
300 POLARIS PKWY, SUITE 2150
WESTERVILLE, OH 43082
Delaware County (614) 533-3280
EMILY REYNOLDS PTA
Physical Therapy Assistant
300 POLARIS PKWY
WESTERVILLE, OH 43082
Delaware County (614) 533-3234
NIA BERNER PTA
Physical Therapy Assistant
300 POLARIS PKWY
WESTERVILLE, OH 43082
Delaware County (614) 533-3224

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 Randy Hinkle's NPI number?

The NPI number for Randy Hinkle is 1659319523. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Randy Hinkle located?

Randy Hinkle practices at 300 Polaris Pkwy Ste 3000, Westerville, OH 43082. The listed phone number is (614) 533-3354.

What is Randy Hinkle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Randy Hinkle enrolled in Medicare?

Yes. Randy Hinkle 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 Randy Hinkle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Randy Hinkle 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 Randy Hinkle affiliated with any hospitals?

According to CMS data, Randy Hinkle is affiliated with Riverside Methodist Hospital, Grant Medical Center and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Randy Hinkle was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.