NPI registry status
Active
2026 NPPES data Hospice and Palliative Medicine (Family Medicine) Physician NPI 1427343201 M.D.
Verify on CMS → Joseph Hines, M.D.
Hospice and Palliative Medicine (Family Medicine) Physician in Huntingdon, 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 785 in Hospice and Palliative Medicine (Family Medicine) 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
2K
Medicare Part D claims · 267 beneficiaries · Hospice and Palliative Medicine (Family Medicine) Physician avg: 2K
MIPS score
46.8/100
▼ 36 pts below national avg 83.1 · Below average
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Joseph Hines, M.D. reported a CMS MIPS final score of 46.8/100 - below the 83.1 national average - and filed 1,752 Medicare Part D claims in 2023.
- 46.8/100
- MIPS score · -36 vs avg
- 2K
- 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.
Joseph Hines, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
47 4th percentile higher than 4% 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 Joseph Hines, M.D. sits
This provider among hospice and palliative medicine (family medicine) physician peers
Across the 146 hospice and palliative medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Hines, M.D. writes more Part D claims than 72% of them and scores higher on MIPS quality than 1% - placing this provider in the high-volume, lower-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 hospice and palliative medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Joseph Hines, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Joseph Hines, M.D. 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 Joseph Hines, M.D.?
Below national averagePrimary specialty
Hospice and Palliative Medicine (Family Medicine) Physician
Medicare Part D claims
1,752 15% vs specialty avg
MIPS final score
46.8/100 36.3 pts vs avg
Specialty distribution in Pennsylvania
How Hospice and Palliative Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Joseph Hines, M.D.'s 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 46.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) - 46.8/100 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).
Joseph Hines, M.D. appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Family Medicine) Physician provider holding M.D. credentials at 3228 COLD SPRINGS RD, Huntingdon, PA, 16652, with a listed phone of (814) 643-6462. NPI 1427343201 was issued on 06/09/2011.
Medicare Part D records for calendar year 2023 show 1,752 prescription claims written by this provider, covering 267 Medicare beneficiaries and totaling roughly $175K in drug spend, with an opioid prescribing rate of 5.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 46.8/100 for the 2023 performance year (Quality 17.4, Cost 51.5), compared with the national average of 83.1.
Hospice and Palliative Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 785 enrolled providers across 51 states and an average of 2,070 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 | 1427343201 |
|---|---|
| Specialty | Hospice and Palliative Medicine (Family Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/09/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
46.7833
Final Score
Avg: 83.1
17.3934
Quality
51.4568
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Joseph Hines, M.D. 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.
Geisinger Clinic
Huntingdon, 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).
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 Joseph Hines, M.D.. To verify Joseph Hines, M.D.'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,752
Total Claims
$175K
Total Drug Cost
267
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,970
- Total Day Supply
- 86,249
- Generic Drug Cost
- $31K
- Opioid Claims
- 90 (5.1% rate)
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 65.3 years
- Avg HCC Risk Score
- 1.75
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 102, 65-74: 115, 75-84: 37, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Joseph Hines, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
112 claims
- Lisinopril
Lisinopril
95 claims
- Pantoprazole Sodium
Pantoprazole Sodium
83 claims
- Gabapentin
Gabapentin
60 claims
- Metformin Hcl
Metformin Hcl
59 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
53 claims
- Sertraline Hcl
Sertraline Hcl
53 claims
- Omeprazole
Omeprazole
49 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 112 |
| Lisinopril | 95 |
| Pantoprazole Sodium | 83 |
| Gabapentin | 60 |
| Metformin Hcl | 59 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 53 |
| Sertraline Hcl | 53 |
| Omeprazole | 49 |
| Furosemide | 32 |
| Hydrochlorothiazide | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hospice and Palliative Medicine (Family Medicine) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Hospice and Palliative Medicine (Family Medicine) Physician Overview
How Joseph Hines, M.D. fits within the Hospice and Palliative Medicine (Family Medicine) Physician landscape nationally.
785
Hospice and Palliative Medicine (Family Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Family Medicine) Physician
2,070
Avg Claims per Provider
Joseph Hines, M.D.'s 1,752 claims are below the specialty average of 2,070.
Nearby Hospice and Palliative Medicine (Family Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Hines.
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 Hospice and Palliative Medicine (Family Medicine) 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 Joseph Hines, M.D.'s specialty? ▼
Joseph Hines, M.D. specializes in Hospice and Palliative Medicine (Family Medicine) Physician and practices in Huntingdon, Pennsylvania. Credentials: M.D..
How much does Joseph Hines, M.D. prescribe under Medicare Part D? ▼
In 2023, Joseph Hines, M.D. wrote 1,752 Medicare Part D claims totaling $175K in drug costs for 267 beneficiaries.
What is Joseph Hines, M.D.'s Medicare quality score? ▼
Joseph Hines, M.D. has a CMS MIPS Final Score of 46.8/100 (Quality: 17.4, Cost: 51.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph Hines, M.D. located? ▼
Joseph Hines, M.D. is located at 3228 COLD SPRINGS RD, Huntingdon, PA, 16652. Phone: (814) 643-6462.
What is Joseph Hines, M.D.'s NPI number? ▼
Joseph Hines, M.D.'s National Provider Identifier (NPI) is 1427343201, issued on 06/09/2011.
Does Joseph Hines, M.D. prescribe opioids? ▼
Yes, Joseph Hines, M.D. had 90 opioid claims in 2023 with an opioid prescribing rate of 5.1%.
How many Hospice and Palliative Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 785 Hospice and Palliative Medicine (Family Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Family Medicine) Physician provider writes 2,070 Medicare Part D claims per year.
What drugs does Joseph Hines, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Joseph Hines, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Hines, M.D. accept Medicare? ▼
Joseph Hines, M.D. appears in CMS Medicare data with 1,752 Part D claims and 267 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Hines, M.D.'s credentials? ▼
Joseph Hines, M.D.'s NPI is 1427343201 with credentials M.D.. 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.