DR. CARL HENRY HINES M.D.
NPI 1740258102
Family Medicine in Minden, LA

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
72.66/100
CMS Quality Rating
1114 HOMER RD, MINDEN, LA 71055(318) 371-1395(318) 377-5932 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carl Henry Hines M.d. NPPES

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

DR. CARL HENRY HINES M.D. (NPI 1740258102) is an individual family medicine provider in Minden, Louisiana, licensed in Louisiana (LA015051) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Minden Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1979).

NPPES Registry Identity

NPI1740258102
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARL HENRY HINESCredential: M.D.
Location Address1114 HOMER RDMinden, LA 71055-3028
Mailing Address1114 Homer RdMinden, LA 71055-3028 · (318) 371-1395 · Fax (318) 377-5932
Fax(318) 377-5932
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1979
Enumeration DateMarch 10, 2006
Last NPPES UpdateSeptember 6, 2011
NPI 1740258102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · LA015051
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.
1114 HOMER RD, Minden, LA 71055

Other Identifiers 3

Medicare ID-Type Unspecified5L662LA · Medicare
Medicaid1199141LA
Medicare UPINB61422LA

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

Dr. Carl Henry Hines 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 ID4981694940
PECOS Enrollment IDI20100916000290
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.

Minden Medical Center

Acute Care Hospitals · Minden, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190144
LocationNo 1 Medical PlazaMinden, LA 71055 · Webster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71055 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

72.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.39
Promoting Interoperability99
Improvement Activities40
Cost28.4

Reported Quality Measures

Breast Cancer Screening
36%98 patients2/55-star benchmark: 93%
Cervical Cancer Screening
26%148 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
37%115 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
26%199 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
47%170 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
44%75 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%913 patients4/55-star benchmark: 100%
e-Prescribing
99%722 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
66%86 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%359 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
35%267 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 68% · 295 patients
Patients screened: 73% · 295 patients
81%62 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
63%174 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%100 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 89 patients
Patients totalRate: 21% · 92 patients
21%92 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers16 claims62 services$6.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 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

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

Nurse Practitioner (Gerontology)
1114 HOMER RD
MINDEN, LA 71055

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 Carl Hines's NPI number?

The NPI number for Carl Hines is 1740258102. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Carl Hines located?

Carl Hines practices at 1114 Homer Rd, Minden, LA 71055. The listed phone number is (318) 371-1395.

What is Carl Hines's specialty?

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

Is Carl Hines enrolled in Medicare?

Yes. Carl 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 Carl Hines accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Carl 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.

Is Carl Hines affiliated with any hospitals?

According to CMS data, Carl Hines is affiliated with Minden Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Hines was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.