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2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1407085129
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Carl Hinshaw

Pain Medicine (Anesthesiology) Physician in Grand Rapids, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,032 in Pain Medicine (Anesthesiology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
241
Medicare Part D claims · 109 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$267.86
16 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Carl Hinshaw reported a CMS MIPS final score of 100/100 - above the 83.5 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)
≥92nd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Carl Hinshaw

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1407085129), first enumerated 07/02/2009.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 241 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 100/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $267.86 in reported industry payments (16 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Carl Hinshaw's individual license status. Verify directly with the state medical board.

    Source: MI-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1407085129 · Pain Medicine (Anesthesiology) Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1407085129
  • ENUM-MID 2009
  • TAX-NARROW 4,032
  • MIPS-ELITE 100/100
  • RX-LIGHT 241
  • BOOK-THIN 82 in Michigan
  • PHOTO-FINISH Shahram Abbassi · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Carl Hinshaw's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Carl Hinshaw sits

This provider among pain medicine (anesthesiology) physician peers

Across the 928 pain medicine (anesthesiology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carl Hinshaw writes more Part D claims than 22% of them and scores higher on MIPS quality than 91% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.947.871.795.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 88Carl Hinshaw, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 91
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pain medicine (anesthesiology) physician peer from a representative sample of 60; the gold marker is Carl Hinshaw. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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

4,032 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 16.5 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Michigan

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

Michigan providers
Behavior Technician21.4%Clinical Social Worker5.8%Student in an Organized Heal…3.6%Physical Therapist3.4%Social Worker3.4%Pharmacist3%Pain Medicine (Anesthesiolog…0%
Largest specialties in Michigan (% of in-state providers)

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 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Pain Medicine (Anesthesiology) Physician) - 100/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

1900 WEALTHY ST SE STE 300
Grand Rapids, MI 49506
(616) 774-8345

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
Measured-score avg: 83.5
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.

According to CMS billing records, Carl Hinshaw is affiliated with 3 Medicare-billing facilities.

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.

More Pain Medicine (Anesthesiology) Physician in MI → All providers in Michigan → Compare specialties →

Pain Medicine (Anesthesiology) Physician Overview

How Carl Hinshaw fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,032
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.

Nationwide Pain Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Hinshaw, both outside Michigan so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (100 here).

Shahram Abbassi 100 CA Jacob Abraham 100 AR Matthew Baker 100 KY Donald Bernardini 100 CO

Same NPPES enumeration year (2009)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Frank Lee Bethesda, MD Robert Lehn Portsmouth, NH Ifechi Anyadioha Mankato, MN Christian Piccolo Yorktown Heights, NY

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.

One of 82 Pain Medicine (Anesthesiology) Physician providers enrolled in Michigan, 5 are shown here.

Dr. Alexander Ajlouni
M.D.
Saint Clair Shores, MI
Haydar Al-Sadkhan
Trenton, MI
Dr. Andrew Alshab
MD MPH
Sault Sainte Marie, MI
Dr. Douglas Anderson
MD
Ann Arbor, MI
Dr. Ihsan Asbahi
M.D.
Lake Orion, MI

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: 87.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 4,032 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

View source datasets and methodology notes
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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.