NPPES file of Aug 9, 2026

Marcus Hines, MD, PHD

Rheumatology Physician · New York, NY

Marcus Hines, MD, PHD is a rheumatology physician with a practice address in New York, New York, and NPI 1760057046, issued on May 20, 2021. Check the license (New York 325561, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1760057046
Name
Marcus Hines
Credential
MD, PHD
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
325561 NY
Self-reported in NPPES; status is on the state search
Practice location
550 1St Ave, New York, NY 10016
Phone
(212) 263-5506
Enumerated
May 20, 2021
Record last updated
May 21, 2026
Medicare enrollment
Enrolled (PECOS I20260529003754); may accept Medicare assignment
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 550 1St Ave

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

  1. Clarisse AbanillaPhysician Assistant1598445579
  2. Ehab Abaza, MDInternal Medicine Physician1114507555
  3. Valentino Abballe, M.D.Diagnostic Radiology Physician1710305081
  4. Diana Abbas, MDStudent in an Organized Health Care Education/Training Program1568105633
  5. Germeen AbdelmessihAcute Care Nurse Practitioner1134840028
  6. Kathryn Abe-Ridgway, MDStudent in an Organized Health Care Education/Training Program1629865324

Verify Marcus Hines in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 325561
    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 New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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93% fewer Medicare Part D claims than the average rheumatology physician in 2024

139 Medicare Part D claims for 25 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.

  1. Marcus Hines139
  2. Specialty average1,978

Most prescribed

  1. Amlodipine Besylate14 claims
  2. Methotrexate11 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.

Marcus Hines among 599 rheumatology physician records in New York

Marcus Hines, MD, PHD is one of 599 rheumatology physician records with a practice address in New York. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 97% of them.

  • NPI issued2021 · 97% of these records are older, under 1% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated2021 · median 2003 among the 425 with a school on file
  • Record last updated2026 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in New York

There are 599 rheumatology physician records in New York.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Steven Abramson, MDNew York, NY 100161144294687
  2. Anca Askanase, MDNew York, NY 100161558336768
  3. Natalie Azar, MDNew York, NY 100161033183181
  4. Howard Belmont, MDNew York, NY 100161992779441
  5. Jill Buyon, MDNew York, NY 100161316910169
  6. Efstathia Chiopelas, MDNew York, NY 100161629077003
  7. Brian Golden, MDNew York, NY 100161376542977
  8. Sicy Lee, MDNew York, NY 100161861466260

Common questions

What is Marcus Hines, MD, PHD's NPI number?

Marcus Hines, MD, PHD's National Provider Identifier (NPI) is 1760057046, issued on May 20, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Marcus Hines, MD, PHD located?

The NPPES record lists a practice address at 550 1St Ave, New York, NY, 10016. Phone: (212) 263-5506. Providers update this record themselves, so call before visiting.

How can I verify Marcus Hines, MD, PHD's license?

NPPES lists New York license number 325561, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

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

In 2024, Marcus Hines, MD, PHD had 139 Medicare Part D claims for 25 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

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.