2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1407085129
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CARL HINSHAW

Pain Medicine (Anesthesiology) Physician in GRAND RAPIDS, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
241
Medicare Part D claims · 109 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$267.86
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARL HINSHAW reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 241 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
241
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CARL HINSHAW's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

CARL HINSHAW practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CARL HINSHAW?

High performer (top quartile)

NPI registry status

Active

Issued 07/02/2009

NPI 1407085129

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

241 85% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Michigan

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Michigan providers

Michigan providers

Pain Medicine (Anesthesiology) Physician share within Michigan

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Michigan

Medicare quality performance — MIPS

CARL HINSHAW's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CARL HINSHAW appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider at 1900 WEALTHY ST SE STE 300, GRAND RAPIDS, MI, 49506, with a listed phone of (616) 774-8345. NPI 1407085129 was issued on 07/02/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HINSHAW most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 241 prescription claims written by this provider, covering 109 Medicare beneficiaries and totaling roughly $19K in drug spend, with an opioid prescribing rate of 9.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 87.5432), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506

Provider Details

NPI 1407085129
Specialty Pain Medicine (Anesthesiology) Physician
Gender Male
NPI Issued 07/02/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
87.5432
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CARL HINSHAW bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CENTER FOR PHYSICAL REHABILITATION AND THERAPY LP
GRAND RAPIDS, MI
CENTER FOR PHYSICAL REHABILITATION INC
GRAND RAPIDS, MI
SPECTRUM HEALTH PRIMARY CARE PARTNERS
GRAND RAPIDS, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for CARL HINSHAW. Source: openpaymentsdata.cms.gov.

Total received

$268

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to CARL HINSHAW. To verify CARL HINSHAW's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

241
Total Claims
$19K
Total Drug Cost
109
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
273
Total Day Supply
7,004
Generic Drug Cost
$19K
Opioid Claims
22 (9.1% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.35
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CARL HINSHAW prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
51
Lidocaine-Prilocaine
Lidocaine/Prilocaine
45
Topiramate
21
Cyclobenzaprine Hcl
16
Cephalexin
15
Methylprednisolone
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pain Medicine (Anesthesiology) Physician Overview

How CARL HINSHAW fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

CARL HINSHAW's 241 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as HINSHAW.

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARL HINSHAW's specialty?
CARL HINSHAW specializes in Pain Medicine (Anesthesiology) Physician and practices in GRAND RAPIDS, Michigan.
How much does CARL HINSHAW prescribe under Medicare Part D?
In 2023, CARL HINSHAW wrote 241 Medicare Part D claims totaling $19K in drug costs for 109 beneficiaries.
What is CARL HINSHAW's Medicare quality score?
CARL HINSHAW has a CMS MIPS Final Score of 100/100 (Quality: 87.5432). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARL HINSHAW located?
CARL HINSHAW is located at 1900 WEALTHY ST SE STE 300, GRAND RAPIDS, MI, 49506. Phone: (616) 774-8345.
What is CARL HINSHAW's NPI number?
CARL HINSHAW's National Provider Identifier (NPI) is 1407085129, issued on 07/02/2009.
Does CARL HINSHAW prescribe opioids?
Yes, CARL HINSHAW had 22 opioid claims in 2023 with an opioid prescribing rate of 9.1%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does CARL HINSHAW prescribe most often?
Based on 2023 Medicare Part D data, CARL HINSHAW's most frequently prescribed drugs include Gabapentin, Lidocaine-Prilocaine, Topiramate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARL HINSHAW accept Medicare?
CARL HINSHAW appears in CMS Medicare data with 241 Part D claims and 109 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARL HINSHAW's credentials?
CARL HINSHAW's NPI is 1407085129. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology