NPPES file of Aug 9, 2026

Janet Hines, MD

Infectious Disease Physician · Philadelphia, PA

Janet Hines, MD is an infectious disease physician with a practice address in Philadelphia, Pennsylvania, and NPI 1134159254, issued on Jul 4, 2006. Check the license (Pennsylvania MD049128L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1134159254
Name
Janet Hines
Credential
MD
Primary taxonomy
Infectious Disease Physician 207RI0200X
License number
MD049128L PA
Self-reported in NPPES; status is on the state search
Practice location
3400 Spruce Street, Philadelphia, PA 19104
Phone
(215) 662-6932
Enumerated
Jul 4, 2006
Record last updated
Feb 21, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(215) 662-7899
Medicaid ID
0015384850001 PA
Medicare enrollment
Enrolled (PECOS I20040405000572); accepts Medicare assignment
Medical or professional school
University Of Alabama School Of Medicine, 1990
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3400 Spruce Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stephanie Abbuhl, MDEmergency Medicine Physician1649215195
  2. Shahrzad Abdollahi, M.D.Rheumatology Physician1518494178
  3. Sarah Abdulla, MDVascular & Interventional Radiology Physician1427342336
  4. Alice Abernathy, MDObstetrics & Gynecology Physician1740711498
  5. Mariam Aboian, M.D., PH.D.Diagnostic Radiology Physician1356669386
  6. Samir Abu Gazala, M.D.Surgery Physician1750708251

Verify Janet Hines in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD049128L
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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2.7 times the Medicare Part D claims of the average infectious disease physician in 2024

1,875 Medicare Part D claims for 102 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. 58 claims were for opioids.

  1. Janet Hines1,875
  2. Specialty average689

Most prescribed

  1. Biktarvy148 claims
  2. Atorvastatin Calcium99 claims
  3. Tivicay67 claims
  4. Descovy44 claims
  5. Omeprazole43 claims
  6. Rosuvastatin Calcium43 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 85.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score73.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $890.15

28 payments; by number, the most common kind was food and beverage; the largest payer was ViiV Healthcare Company. The 3,895 providers of this specialty with any payment received $4,362.19 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Janet Hines$890.15
  2. Specialty average$4,362.19

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Mazzoni CenterPhiladelphia, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Janet Hines among 545 infectious disease physician records in Pennsylvania

Janet Hines, MD is one of 545 infectious disease physician records with a practice address in Pennsylvania. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 59% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 70% of these records are
  • Graduated1990 · median 2005 among the 381 with a school on file
  • Record last updated2011 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Infectious Disease Physician providers in Pennsylvania

There are 545 infectious disease physician records in Pennsylvania.

The 8 infectious disease physician records with the nearest ZIP codes

  1. Gregory Bisson, MDPhiladelphia, PA 191041780614776
  2. Emily Blumberg, MDPhiladelphia, PA 191041043247935
  3. Paul Edelstein, MDPhiladelphia, PA 191041659314441
  4. Leanne Gasink, MDPhiladelphia, PA 191041649206343
  5. Stephen Gluckman, MDPhiladelphia, PA 191041932136850
  6. Helen Koenig, MDPhiladelphia, PA 191041558309104
  7. Vincent Lore, MDPhiladelphia, PA 191041154357853
  8. Richard Maniglia, MDPhiladelphia, PA 191041548299076

Common questions

What is Janet Hines, MD's NPI number?

Janet Hines, MD's National Provider Identifier (NPI) is 1134159254, issued on Jul 4, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Janet Hines, MD located?

The NPPES record lists a practice address at 3400 Spruce Street, Philadelphia, PA, 19104. Phone: (215) 662-6932. Providers update this record themselves, so call before visiting.

How can I verify Janet Hines, MD's license?

NPPES lists Pennsylvania license number MD049128L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Janet Hines, MD prescribe under Medicare Part D?

In 2024, Janet Hines, MD had 1,875 Medicare Part D claims for 102 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.

What is Janet Hines, MD's MIPS final score?

The 2023 MIPS final score is 85.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.