2026 NPPES data Nephrology Physician NPI 1932375631 MD
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MARCONO HINES, MD

Nephrology Physician in COLUMBIA, South Carolina. 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
744
Medicare Part D claims · 159 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
10.7322/100
▼ 72 pts below national avg 83.1 · [object Object]
Industry payments
$184.73
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARCONO HINES, MD is a Nephrology Physician ([object Object]) practicing in COLUMBIA, South Carolina with a Medicare Part D prescribing footprint of 744 claims across 159 beneficiaries — 31% brand-name prescribing . Their CMS MIPS Final Score of 10.7322/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $184.73 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARCONO HINES, MD reported a CMS MIPS final score of 10.7322 out of 100, below the 83.1 national average, and filed 744 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARCONO 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).

MARCONO HINES, MD at a glance

Below national average

NPI registry status

Active

Issued 05/02/2008

NPI 1932375631

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

744 49% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

10.7322/100 72.36779999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in South Carolina

How Nephrology Physician compares to other specialties among South Carolina providers

South Carolina providers

Nephrology Physician share within South Carolina

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within South Carolina

Medicare quality performance — MIPS

MARCONO HINES, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

Below national average
MIPS Final Score
10.7322/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 10.7322/100 vs national avg 83.1

0%100%National avg83%10.7%
MIPS final score (Nephrology Physician) — 10.7322/100 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).

MARCONO HINES, MD is a Nephrology Physician provider practicing in COLUMBIA, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1932375631. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARCONO HINES, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 121 PARK CENTRAL DR, COLUMBIA, SC, 29203, with a listed phone of (803) 252-9907. NPI 1932375631 was issued on 05/02/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HINES 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 744 prescription claims written by this provider, covering 159 Medicare beneficiaries and totaling roughly $451K in drug spend, split 31% brand-name and 69% generic by claim count. 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 10.7322/100 for the 2023 performance year (Quality 0, Cost 35.774), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

121 PARK CENTRAL DR
COLUMBIA, SC 29203

Provider Details

NPI 1932375631
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 05/02/2008

CMS Quality Score (MIPS)

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

10.7322
Final Score
Avg: 83.1
0
Quality
35.774
Cost
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where MARCONO 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.

COLUMBIA NEPHROLOGY ASSOCIATES PA
COLUMBIA, SC

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 MARCONO HINES, MD. Source: openpaymentsdata.cms.gov.

Total received

$185

Largest payer

GlaxoSmithKline, LLC.

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.

Brand vs generic prescribing mix · Above average

MARCONO HINES, MD — brand share 31.0%
Specialty average (est.)

31% brand-name claims vs 69% generic, on 744 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.

744
Total Claims
$451K
Total Drug Cost
159
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,304
Total Day Supply
37,243
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$396K
Generic Drug Cost
$55K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
64.1 years
Avg HCC Risk Score
6.92
Gender Split
56% female / 44% male
Age Distribution
<65: 69, 65-74: 57, 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.

Drug Claims
Velphoro
Sucroferric Oxyhydroxide
100
Furosemide
51
Gentamicin Sulfate
51
Sevelamer Carbonate
37
Procrit
Epoetin Alfa
35
Amlodipine Besylate
34
Farxiga
Dapagliflozin Propanediol
28
Carvedilol
20
Tamsulosin Hcl
20
Auryxia
Ferric Citrate
19

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

Nephrology Physician Overview

How MARCONO HINES, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

MARCONO HINES, MD's 744 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as HINES.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARCONO HINES, MD's specialty?
MARCONO HINES, MD specializes in Nephrology Physician and practices in COLUMBIA, South Carolina. Credentials: MD.
How much does MARCONO HINES, MD prescribe under Medicare Part D?
In 2023, MARCONO HINES, MD wrote 744 Medicare Part D claims totaling $451K in drug costs for 159 beneficiaries.
What is MARCONO HINES, MD's Medicare quality score?
MARCONO HINES, MD has a CMS MIPS Final Score of 10.7322/100 (Quality: 0, Cost: 35.774). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARCONO HINES, MD located?
MARCONO HINES, MD is located at 121 PARK CENTRAL DR, COLUMBIA, SC, 29203. Phone: (803) 252-9907.
What is MARCONO HINES, MD's NPI number?
MARCONO HINES, MD's National Provider Identifier (NPI) is 1932375631, issued on 05/02/2008.
Does MARCONO HINES, MD prescribe more brand-name or generic drugs?
MARCONO HINES, MD's prescribing is 31% brand-name and 69% generic drugs by claim count, with $396K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does MARCONO HINES, MD prescribe most often?
Based on 2023 Medicare Part D data, MARCONO HINES, MD's most frequently prescribed drugs include Velphoro, Furosemide, Gentamicin Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCONO HINES, MD accept Medicare?
MARCONO HINES, MD appears in CMS Medicare data with 744 Part D claims and 159 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCONO HINES, MD's credentials?
MARCONO HINES, MD's NPI is 1932375631 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

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