DR. JOHN A HINSON JR. M.D.
NPI 1902020159
Orthopaedic Surgery in Palm Beach Gardens, FL

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
71.11/100
CMS Quality Rating
4215 BURNS ROAD, SUITE 100, PALM BEACH GARDENS, FL 33410(561) 694-7776(561) 694-3099 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John A Hinson Jr. M.d. NPPES

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

DR. JOHN A HINSON JR. M.D. (NPI 1902020159) is an individual orthopaedic surgery provider in Palm Beach Gardens, Florida, licensed in Florida (ME123935) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2004).

NPPES Registry Identity

NPI1902020159
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN A HINSON JR.Credential: M.D.
Location Address4215 BURNS ROAD, SUITE 100Palm Beach Gardens, FL 33410-4627
Mailing Address4215 Burns Road, Suite 200Palm Beach Gardens, FL 33410-4625 · (561) 694-7776 · Fax (561) 694-3099
Fax(561) 694-3099
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2004
Enumeration DateApril 12, 2007
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1902020159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · ME123935 Licensed in GA · 000502
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4215 BURNS ROAD, Palm Beach Gardens, FL 33410

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. John A Hinson Jr. 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 ID6305981598
PECOS Enrollment IDI20151214000936
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 24

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,095 services311 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.
1,011 services497 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
537 services318 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
487 services289 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
147 services147 patients
X-ray of elbow, minimum of 3 views 73080
An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.
98 services73 patients

Hospital Affiliations CMS Care Compare 5

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Palm Beach Gardens Medical Center

Acute Care Hospitals · Palm Beach Gardens, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100176
Location3360 Burns RdPalm Beach Gardens, FL 33410 · Palm Beach County
Emergency services

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

71.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.48
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
44%783 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
57%4,455 patients2/55-star benchmark: 100%
e-Prescribing
100%263 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%813 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,822 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,714 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 3% · 1,408 patients
3%1,408 patients
Provide Patients Electronic Access to Their Health Information
80%772 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%25 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 849 patients
Patients totalRate: 3% · 849 patients
2%849 patients4/55-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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier41 claims41 services$105.26 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 8

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

Nurse Practitioner
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410
Surgery (Surgery of the Hand)
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410
Physical Medicine & Rehabilitation
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410
Orthopaedic Surgery (Sports Medicine)
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410
Anesthesiology (Pain Medicine)
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410
Orthopaedic Surgery (Sports Medicine)
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4215 BURNS ROAD, SUITE 100
PALM BEACH GARDENS, FL 33410

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 Hinson's NPI number?

The NPI number for John Hinson is 1902020159. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is John Hinson located?

John Hinson practices at 4215 Burns Road Suite 100, Palm Beach Gardens, FL 33410. The listed phone number is (561) 694-7776.

What is John Hinson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Hinson enrolled in Medicare?

Yes. John Hinson 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 Hinson accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list John Hinson 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 John Hinson affiliated with any hospitals?

According to CMS data, John Hinson is affiliated with Cleveland Clinic Martin North Hospital, Palm Beach Gardens Medical Center, Jupiter Medical Center, Wellington Regional Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for John Hinson was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.