NPI registry status
Active
2026 NPPES data Infectious Disease Physician NPI 1134159254 MD
Verify on CMS → Janet Hines, MD
Infectious Disease Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,314 in Infectious Disease 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
4K
Medicare Part D claims · 147 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
62%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.5/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$890.15
28 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Janet Hines, MD reported a CMS MIPS final score of 85.5/100 - above the 83.1 national average - and filed 3,945 Medicare Part D claims in 2023.
- 85.5/100
- MIPS score · +2 vs avg
- 4K
- Part D claims, 2023
- 62%
- generic prescribing
- 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.
Janet Hines, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% of 477,587 scored providers
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
Where Janet Hines, MD sits
This provider among infectious disease physician peers
Across the 2,276 infectious disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Janet Hines, MD writes more Part D claims than 97% of them and scores higher on MIPS quality than 52% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one infectious disease physician peer from a representative sample of 60; the gold marker is Janet Hines, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Janet Hines, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Janet Hines, MD?
High performer (top quartile)Primary specialty
Infectious Disease Physician
Medicare Part D claims
3,945 383% vs specialty avg
MIPS final score
85.5/100 2.4 pts vs avg
Specialty distribution in Pennsylvania
How Infectious Disease Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Janet Hines, MD's 2023 MIPS final score plotted against the Infectious Disease Physician national average
- MIPS Final Score
- 85.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Infectious Disease Physician) - 85.5/100 vs national avg 83.1
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).
Janet Hines, MD appears in the CMS NPPES registry as a Infectious Disease Physician provider holding MD credentials at 3400 SPRUCE STREET, Philadelphia, PA, 19104, with a listed phone of (215) 662-6932. NPI 1134159254 was issued on 07/04/2006.
Medicare Part D records for calendar year 2023 show 3,945 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $3.6 million in drug spend, split 37% brand-name and 62% generic by claim count, with an opioid prescribing rate of 2.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.5/100 for the 2023 performance year (Quality 73.6), compared with the national average of 83.1.
Infectious Disease Physician is a mid-sized specialty nationwide, with 8,314 enrolled providers across 54 states and an average of 816 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
Provider Details
| NPI | 1134159254 |
|---|---|
| Specialty | Infectious Disease Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 07/04/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.4852
Final Score
Avg: 83.1
73.6095
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Janet Hines, MD 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.
Mazzoni Center
Philadelphia, PA
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 Janet Hines, MD. Source: openpaymentsdata.cms.gov.
Total received
$890
Largest payer
ViiV Healthcare Company
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 - Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Janet Hines, MD. To verify Janet Hines, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Janet Hines, MD - brand share 37.0%
Infectious Disease Physician average
37% brand-name claims vs 62% generic, on 3,945 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
3,945
Total Claims
$3.6M
Total Drug Cost
147
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,385
- Total Day Supply
- 128,070
- Brand vs Generic
- 37% brand / 62% generic
- Brand Drug Cost
- $3.5M
- Generic Drug Cost
- $105K
- Opioid Claims
- 102 (2.6% rate)
- Antibiotic Claims
- 38
Patient Demographics
- Average Patient Age
- 62.4 years
- Avg HCC Risk Score
- 1.89
- Gender Split
- 32% female / 68% male
- Age Distribution
- <65: 76, 65-74: 65, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Janet Hines, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
230 claims
- Biktarvy
Biktarvy
197 claims
- Tivicay
Tivicay
134 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
124 claims
- Amlodipine Besylate
Amlodipine Besylate
116 claims
- Omeprazole 86
Omeprazole
86 claims
- Odefsey 85
Odefsey
85 claims
- Descovy 84
Descovy
84 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 230 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 197 |
| Tivicay Dolutegravir Sodium | 134 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 124 |
| Amlodipine Besylate | 116 |
| Omeprazole | 86 |
| Odefsey Emtricitab/Rilpiviri/Tenof Ala | 85 |
| Descovy Emtricitabine/Tenofov Alafenam | 84 |
| Tamsulosin Hcl | 82 |
| Gabapentin | 74 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Infectious Disease Physician Overview
How Janet Hines, MD fits within the Infectious Disease Physician landscape nationally.
8,314
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider
Janet Hines, MD's 3,945 claims are above the specialty average of 816.
Nearby Infectious Disease Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Hines.
Dr. Rasha Abdulmassih
MD
Pittsburgh, PA
Dr. David Abel
D.O.
Lancaster, PA
Dr. Monica Ahuja
MD
Wilkes Barre, PA
Dr. Nancy Aitcheson
MD
Philadelphia, PA
Dr. Okan Akay
M.D.
Harrisburg, PA
Compare Infectious Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Infectious Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Janet Hines, MD's specialty? ▼
Janet Hines, MD specializes in Infectious Disease Physician and practices in Philadelphia, Pennsylvania. Credentials: MD.
How much does Janet Hines, MD prescribe under Medicare Part D? ▼
In 2023, Janet Hines, MD wrote 3,945 Medicare Part D claims totaling $3.6M in drug costs for 147 beneficiaries.
What is Janet Hines, MD's Medicare quality score? ▼
Janet Hines, MD has a CMS MIPS Final Score of 85.5/100 (Quality: 73.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Janet Hines, MD located? ▼
Janet Hines, MD is located at 3400 SPRUCE STREET, Philadelphia, PA, 19104. Phone: (215) 662-6932.
What is Janet Hines, MD's NPI number? ▼
Janet Hines, MD's National Provider Identifier (NPI) is 1134159254, issued on 07/04/2006.
Does Janet Hines, MD prescribe more brand-name or generic drugs? ▼
Janet Hines, MD's prescribing is 37% brand-name and 62% generic drugs by claim count, with $3.5M in brand drug costs.
Does Janet Hines, MD prescribe opioids? ▼
Yes, Janet Hines, MD had 102 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,314 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does Janet Hines, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Janet Hines, MD's most frequently prescribed drugs include Atorvastatin Calcium, Biktarvy, Tivicay. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Janet Hines, MD accept Medicare? ▼
Janet Hines, MD appears in CMS Medicare data with 3,945 Part D claims and 147 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Janet Hines, MD's credentials? ▼
Janet Hines, MD's NPI is 1134159254 with credentials MD. 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 PlainDoctor editorial team.
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.