BARBARA HINOJOSA M.D.
NPI 1942611181
Hospitalist in Houston, TX

Active since May 09, 2014PECOS Enrolled
403 COLUMBIA ST, HOUSTON, TX 77007(972) 310-4122 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Aug 29, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2018).

About Barbara Hinojosa M.d. NPPES

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

BARBARA HINOJOSA M.D. (NPI 1942611181) is an individual hospitalist provider in Houston, Texas, licensed in Texas (R1041) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of University Of Texas Medical School At San Antonio (2014).

NPPES Registry Identity

NPI1942611181
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameBARBARA HINOJOSACredential: M.D.
Location Address403 COLUMBIA STHouston, TX 77007-2623
Mailing Address11800 Astoria BlvdHouston, TX 77089-6041 · (281) 929-6100
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2014
Enumeration DateMay 9, 2014
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1942611181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · R1041
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License R1041 (TX)
403 COLUMBIA ST, Houston, TX 77007

Secondary Practice Location 1

Location 18525 Floyd Curl Dr Apt 2705San Antonio, TX 78240-1525 · Phone (972) 310-4122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barbara Hinojosa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991094161
PECOS Enrollment IDI20171002000626, I20251010001609, I20251015004846, I20251118002031, I20260122003412
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Barbara Hinojosa reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
Emergency Medicine
8686 NEW TRAILS DR STE 100
The Woodlands, TX 77381
  • Reassigned Medicare billing, Wisconsin enrollment
  • 27 clinicians in this Medicare group
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
Emergency Medicine
16088 SAN PEDRO AVE
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
Emergency Medicine
1207 S BAILEY ST
Electra, TX 76360
  • Reassigned Medicare billing, Texas enrollment
  • 155 clinicians in this Medicare group
Emergency Medicine
9417 N COUNCIL RD
Oklahoma City, OK 73162
  • Reassigned Medicare billing, Oklahoma enrollment
  • 30 clinicians in this Medicare group
Emergency Medicine
1550 W CRAIG RD STE 100
North Las Vegas, NV 89032
  • Reassigned Medicare billing, Nevada enrollment
  • 33 clinicians in this Medicare group
Emergency Medicine
1015 W BALTIMORE PIKE
West Grove, PA 19390
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
244 services229 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77007 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%242 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.

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 Barbara Hinojosa's NPI number?

The NPI number for Barbara Hinojosa is 1942611181. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Barbara Hinojosa located?

Barbara Hinojosa practices at 403 Columbia St, Houston, TX 77007. The listed phone number is (972) 310-4122.

What is Barbara Hinojosa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Barbara Hinojosa enrolled in Medicare?

Yes. Barbara Hinojosa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Barbara Hinojosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Hinojosa reassigns Medicare benefits to 8 organizations: Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Emerus Inpatient Providers Sc (The Woodlands, TX), Memorial Hermann Medical Group (Fulshear, TX), Leading Edge Emergency Physicians, Inc (San Antonio, TX), Southwest Medical Associates, Inc. (Electra, TX) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Hinojosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Hinojosa accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Barbara Hinojosa 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 Barbara Hinojosa was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.