JOHN WILLIAM HINKLE M.D.
NPI 1821484981
Ophthalmology in South Burlington, VT

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
99 SWIFT ST STE 200, SOUTH BURLINGTON, VT 05403(802) 864-3937 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2022, Jul 9, 2020, Jun 23, 2020 and 4 more (7 updates tracked since 2016).

About John William Hinkle M.d. NPPES

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

JOHN WILLIAM HINKLE M.D. (NPI 1821484981) is an individual ophthalmology provider in South Burlington, Vermont, licensed in Vermont (042.0016242) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1821484981
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN WILLIAM HINKLECredential: M.D.
Location Address99 SWIFT ST STE 200South Burlington, VT 05403-7359
Mailing Address99 Swift St Ste 200South Burlington, VT 05403-7359 · (802) 864-3937
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateNovember 1, 20227 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
NPI 1821484981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VT · 042.0016242
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 042.0016242 (VT)
99 SWIFT ST STE 200, South Burlington, VT 05403

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

John William Hinkle 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 ID6002140498
PECOS Enrollment IDI20220922002780
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 15

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
8,160 services32 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,466 services826 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,252 services151 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.
1,089 services653 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
929 services243 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
237 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Ophthalmology
99 SWIFT ST STE 200
SOUTH BURLINGTON, VT 05403
Ophthalmology
99 SWIFT ST STE 200
SOUTH BURLINGTON, VT 05403

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 John Hinkle's NPI number?

The NPI number for John Hinkle is 1821484981. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is John Hinkle located?

John Hinkle practices at 99 Swift St Ste 200, South Burlington, VT 05403. The listed phone number is (802) 864-3937.

What is John Hinkle's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Hinkle enrolled in Medicare?

Yes. John 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 John Hinkle accept?

Health plans from Anthem Blue Cross and Blue Shield list John 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.

When was this NPI record last updated?

The NPPES record for John Hinkle was last updated on November 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.