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DR. MARK WALLACE HINMAN M.D.
NPI 1750385415
Family Medicine in Longmont, CO

Active since June 10, 2005PECOS Enrolled
1350 TULIP ST, LONGMONT, CO 80501(303) 776-6872(303) 776-2501 Get Directions Write a Review

NPPES record last updated: January 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Wallace Hinman M.d. NPPES

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

DR. MARK WALLACE HINMAN M.D. (NPI 1750385415) is an individual family medicine provider in Longmont, Colorado, licensed in Colorado (28820) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750385415
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK WALLACE HINMANCredential: M.D.
Location Address1350 TULIP STLongmont, CO 80501-3140
Mailing Address1350 Tulip StLongmont, CO 80501-3140 · (303) 776-6872 · Fax (303) 776-2501
Phone(303) 776-6872
Fax(303) 776-2501
Sole ProprietorYes
Enumeration DateJune 10, 2005
Last NPPES UpdateJanuary 19, 2013
✔ NPI 1750385415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 28820
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.
1350 TULIP ST, Longmont, CO 80501
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Other Identifiers 3

Medicare ID-Type UnspecifiedC7918
Medicare UPINF55398CO
Medicaid04021093CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Wallace Hinman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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 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.
480 services209 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
201 services168 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
156 services121 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.
143 services143 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
100 services100 patients
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.
60 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%318 patients5/55-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 4

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
4 suppliers12 claims24 services$6.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers35 claims35 services$17.31 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers20 claims20 services$34.30 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
5 suppliers47 claims47 services$85.07 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 4

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

KATHRYN ANSLEY DAMBY FNP
Nurse Practitioner
1350 TULIP ST
LONGMONT, CO 80501
Boulder County (303) 428-7449
RHEA TEASLEY-BENNETT NP
Family Medicine
1350 TULIP ST
LONGMONT, CO 80501
Boulder County (303) 709-1636
ALYSSA MARIE DRAJKOWSKI FNP-BC
Nurse Practitioner (Family)
1350 TULIP ST
LONGMONT, CO 80501
Boulder County (303) 428-7449
MARK W. HINMAN, MD, LLC
Clinic/Center (Primary Care)
1350 TULIP ST
LONGMONT, CO 80501
Boulder County (303) 776-6872

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 Mark Hinman's NPI number?

The NPI number for Mark Hinman is 1750385415. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Mark Hinman located?

Mark Hinman practices at 1350 Tulip St, Longmont, CO 80501. The listed phone number is (303) 776-6872.

What is Mark Hinman's specialty?

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

Is Mark Hinman enrolled in Medicare?

Yes. Mark Hinman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Hinman was last updated on January 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.