DR. HEATHER DAWN HINES D.O.
NPI 1851309538
Family Medicine in Hilliard, OH

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
5300 NIKE DR, HILLIARD, OH 43026(614) 850-9311(614) 850-9314 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Heather Dawn Hines D.o. NPPES

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

DR. HEATHER DAWN HINES D.O. (NPI 1851309538) is an individual family medicine provider in Hilliard, Ohio, licensed in Ohio (34.008420) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1851309538
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HEATHER DAWN HINESCredential: D.O.
Location Address5300 NIKE DRHilliard, OH 43026-9813
Mailing Address5450 Frantz Rd, Ste 250Dublin, OH 43016-4134
Fax(614) 850-9314
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1998
Enumeration DateAugust 4, 2006
Last NPPES UpdateJanuary 5, 2022
NPI 1851309538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34.008420
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.

5300 NIKE DR, Hilliard, OH 43026

Other Identifiers 1

Medicaid2572658OH

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. Heather Dawn Hines D.o. 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 ID7113956053
PECOS Enrollment IDI20050810000946
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 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.
160 services79 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.
51 services51 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.
46 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
10 suppliers16 claims37 services$4.83 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 15

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

Family Medicine
5300 NIKE DR
HILLIARD, OH 43026
Internal Medicine
5300 NIKE DR
HILLIARD, OH 43026
Family Medicine
5300 NIKE DR
HILLIARD, OH 43026
Nurse Practitioner (Women's Health)
5300 NIKE DR
HILLIARD, OH 43026
Obstetrics & Gynecology
5300 NIKE DR
HILLIARD, OH 43026
Nurse Practitioner (Women's Health)
5300 NIKE DR
HILLIARD, OH 43026
Obstetrics & Gynecology
5300 NIKE DR
HILLIARD, OH 43026
Obstetrics & Gynecology
5300 NIKE DR
HILLIARD, OH 43026

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 Heather Hines's NPI number?

The NPI number for Heather Hines is 1851309538. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Heather Hines located?

Heather Hines practices at 5300 Nike Dr, Hilliard, OH 43026. The listed phone number is (614) 850-9311.

What is Heather Hines's specialty?

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

Is Heather Hines enrolled in Medicare?

Yes. Heather 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 Heather Hines accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Heather 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 Heather Hines affiliated with any hospitals?

According to CMS data, Heather Hines is affiliated with Riverside Methodist Hospital, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Heather Hines was last updated on January 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.