PHILIP A. HINTON M.D.
NPI 1699712349
Surgery - Vascular Surgery in Fresno, CA

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
1247 E ALLUVIAL AVE STE 101, FRESNO, CA 93720(559) 431-6226(559) 440-9005 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philip A. Hinton M.d. NPPES

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

PHILIP A. HINTON M.D. (NPI 1699712349) is an individual vascular surgery provider in Fresno, California, licensed in California (A23731) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1969).

NPPES Registry Identity

NPI1699712349
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NamePHILIP A. HINTONCredential: M.D.
Location Address1247 E ALLUVIAL AVE STE 101Fresno, CA 93720-2686
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Fax(559) 440-9005
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1969
Enumeration DateJune 1, 2006
Last NPPES UpdateNovember 6, 2019
NPI 1699712349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A23731
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1247 E ALLUVIAL AVE STE 101, Fresno, CA 93720

Other Names 1

Other Name (5)Mr. Jay Philip Austin Hinton M.d.

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

Philip A. Hinton 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 ID8628985314
PECOS Enrollment IDI20060926000404
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 8

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.
232 services209 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
164 services164 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
93 services86 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
54 services26 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.
36 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

Other Providers at the Same Location NPPES 10

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

Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720
Nurse Practitioner
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720
Surgery (Vascular Surgery)
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720
Physician Assistant
1247 E ALLUVIAL AVE STE 101
FRESNO, CA 93720

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 Philip Hinton's NPI number?

The NPI number for Philip Hinton is 1699712349. It was assigned to this individual provider in the NPPES registry on June 1, 2006. The provider is also known as Mr. Jay Philip Austin Hinton M.D..

Where is Philip Hinton located?

Philip Hinton practices at 1247 E Alluvial Ave Ste 101, Fresno, CA 93720. The listed phone number is (559) 431-6226.

What is Philip Hinton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Philip Hinton enrolled in Medicare?

Yes. Philip 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.

When was this NPI record last updated?

The NPPES record for Philip Hinton was last updated on November 6, 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.