RAY HINTON III M.D.
NPI 1669811246
Hospitalist in Atlanta, GA

Active since June 18, 2013PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
35 COLLIER RD NW STE 635, ATLANTA, GA 30309(404) 367-3014 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2018, May 3, 2018 (2 updates tracked since 2018).

About Ray Hinton Iii M.d. NPPES

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

RAY HINTON III M.D. (NPI 1669811246) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (076452) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Southern Illinois University School Of Medicine (2012).

NPPES Registry Identity

NPI1669811246
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRAY HINTON IIICredential: M.D.
Location Address35 COLLIER RD NW STE 635Atlanta, GA 30309
Mailing Address35 Collier Rd Nw Ste 635Atlanta, GA 30309-1611 · (404) 367-3014
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2012
Enumeration DateJune 18, 2013
Last NPPES UpdateJune 11, 20182 updates tracked since enumeration
NPI 1669811246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 076452
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 76452 (GA)
35 COLLIER RD NW STE 635, Atlanta, GA 30309

Accepted 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

Ray Hinton Iii M.d. 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 ID1355583741
PECOS Enrollment IDI20160907002526
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
344 services331 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
11 services11 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

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.

Hospitalist
35 COLLIER RD NW STE 635
ATLANTA, GA 30309
Hospitalist
35 COLLIER RD NW STE 635
ATLANTA, GA 30309
Internal Medicine
35 COLLIER RD NW STE 635
ATLANTA, GA 30309
Internal Medicine
35 COLLIER RD NW STE 635
ATLANTA, GA 30309
Internal Medicine (Geriatric Medicine)
35 COLLIER RD NW STE 635
ATLANTA, GA 30309
Hospitalist
35 COLLIER RD NW STE 635
ATLANTA, GA 30309
Hospitalist
35 COLLIER RD NW STE 635
ATLANTA, GA 30309
Family Medicine
35 COLLIER RD NW STE 635
ATLANTA, GA 30309

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 Ray Hinton's NPI number?

The NPI number for Ray Hinton is 1669811246. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Ray Hinton located?

Ray Hinton practices at 35 Collier Rd NW Ste 635, Atlanta, GA 30309. The listed phone number is (404) 367-3014.

What is Ray Hinton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ray Hinton enrolled in Medicare?

Yes. Ray 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 Ray Hinton accept?

Health plans from Alliant Health Plans, Inc. list Ray 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 Ray Hinton affiliated with any hospitals?

According to CMS data, Ray Hinton is affiliated with Piedmont Newton Hospital, Union General Hospital, Piedmont Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Ray Hinton was last updated on June 11, 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.