Individual provider Active NPI

Michael Weston Hines, MD

  • Retina Specialist (Ophthalmology) Physician
  • Gainesville, FL
National Provider Identifier
1619951803
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME0045028 Issued in FL
Practice address
6400 W Newberry Rd
Suite 301
Gainesville, FL 32605-6605
Phone
(352) 333-5050
Fax
(352) 248-2228
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME0045028 FL Primary

Addresses

Primary practice location

6400 W Newberry Rd
Suite 301
Gainesville, FL 32605-6605

Mailing address

6400 Newberry Rd
Suite 301
Gainesville, FL 32605-6603
Phone (352) 333-5050

Other identifiers 1

IdentifierTypeStateIssuer
25161000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130408000355 FL Practitioner - Ophthalmology 3577708957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Center PAGroup PAC ID 7618130675, 2 clinicians

Practice addresses (Care Compare)

6400 W Newberry Rd
Suite 301
Gainesville, FL 32605-6603
Phone (352) 333-5050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0045028FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center PA CurrentSince Mar 1, 2013 Accepting new patients

Locations

6400 W Newberry Rd
Ste 301
Gainesville, FL 32605
Phone (352) 333-5050

3035 SW 27th Ave
Ocala, FL 34471
Phone (352) 873-7300

Interoperability endpoints

  • Direct secure messaging: mhines@mames.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1619951803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056603",
            "telephone_number": "352-333-5050",
            "fax_number": "352-248-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056605",
            "telephone_number": "352-333-5050",
            "fax_number": "352-248-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MICHAEL",
        "middle_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME0045028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25161000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.