2026 NPPES data Psychiatry Physician NPI 1194797191 M.D.
Verify on CMS →

Michele Hines, M.D.

Psychiatry Physician in Louisville, Kentucky.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 54,383 in Psychiatry 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
357
Medicare Part D claims · 72 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
87.1/100
▲ 4 pts above national avg 83.5 · Above neutral

What the federal data shows

Michele Hines, M.D. reported a CMS MIPS final score of 87.1/100 - above the 83.5 national average - and filed 357 Medicare Part D claims in 2024.

87.1/100
MIPS score · +4 vs avg
357
Part D claims, 2024
Likely
board-certified (heuristic)
≥52nd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Michele Hines, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1194797191), first enumerated 02/03/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 357 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 87.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1194797191 · Psychiatry Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1194797191
  • ENUM-LEGACY 2006
  • TAX-MEGA 54K Psychiatry Physician
  • MIPS-ABOVE 87.1/100
  • RX-LIGHT 357
  • BOOK-THIN 478 in Kentucky
  • PHOTO-FINISH Richard Ellsasser, M… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michele Hines, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

87 ≥ 52nd percentile 52% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Michele Hines, M.D. sits

This provider among psychiatry physician peers

Across the 4,541 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michele Hines, M.D. writes more Part D claims than 49% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 43Michele Hines, M.D., Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 52
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatry physician peer from a representative sample of 60; the gold marker is Michele 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)

Michele Hines, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Michele Hines, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 02/03/2006

NPI 1194797191

Primary specialty

Psychiatry Physician

High-volume

54,383 US NPIs in this specialty

Medicare Part D claims

357 65% vs specialty avg

2024 prescription claims

Specialty avg: 1,010

MIPS final score

87.1/100 3.6 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Kentucky

How Psychiatry Physician compares to other specialties among Kentucky providers

Kentucky providers
Family Nurse Practitioner5.8%Student in an Organized Heal…5.2%Pharmacist4.8%Mental Health Counselor4.6%Clinical Social Worker4.2%Physical Therapist3.6%Psychiatry Physician0.5%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

Michele Hines, M.D.'s 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
87.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%87.1%
MIPS final score (Psychiatry Physician) - 87.1/100 vs national avg 83.5
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).

Practice Address

9462 BROWNSBORO RD
Louisville, KY 40241

Provider Details

NPI 1194797191
Specialty Psychiatry Physician
Credentials M.D.
Gender Female
NPI Issued 02/03/2006

CMS Quality Score (MIPS)

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

87.0923
Final Score
Measured-score avg: 83.5
77.4385
Quality
62.8691
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

357
Total Claims
$39K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
525.3
Total Day Supply
14,369
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
62.4 years
Avg HCC Risk Score
1.61
Gender Split
64% female / 36% male
Age Distribution
<65: 32, 65-74: 29, 75-84: 11, 85+: 0

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Michele Hines, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Risperidone
33
Trazodone Hcl
31
Aripiprazole
27
Quetiapine Fumarate
24
Olanzapine
19
Sertraline Hcl
16
Escitalopram Oxalate
13
Venlafaxine Hcl Er
Venlafaxine Hcl
13
Bupropion Xl
Bupropion Hcl
12
Clonazepam
11

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

Psychiatry Physician Overview

How Michele Hines, M.D. fits within the Psychiatry Physician landscape nationally.

54,383
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,010
Avg Claims per Provider

Michele Hines, M.D.'s 357 claims are below the specialty average of 1,010.

Nationwide Psychiatry Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Hines, both outside Kentucky so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (87.1 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Psychiatry Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Hines.

One of 478 Psychiatry Physician providers enrolled in Kentucky, 5 are shown here.

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

Frequently Asked Questions

What is Michele Hines, M.D.'s specialty?
Michele Hines, M.D. specializes in Psychiatry Physician and practices in Louisville, Kentucky. Credentials: M.D..
How much does Michele Hines, M.D. prescribe under Medicare Part D?
In 2024, Michele Hines, M.D. wrote 357 Medicare Part D claims totaling $39K in drug costs for 72 beneficiaries.
What is Michele Hines, M.D.'s Medicare quality score?
Michele Hines, M.D. has a CMS MIPS Final Score of 87.1/100 (Quality: 77.4, Cost: 62.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michele Hines, M.D. located?
Michele Hines, M.D. is located at 9462 BROWNSBORO RD, Louisville, KY, 40241. Phone: (502) 396-3320.
What is Michele Hines, M.D.'s NPI number?
Michele Hines, M.D.'s National Provider Identifier (NPI) is 1194797191, issued on 02/03/2006.
How many Psychiatry Physician providers are there in the US?
There are 54,383 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,010 Medicare Part D claims per year.
What drugs does Michele Hines, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Michele Hines, M.D.'s most frequently prescribed drugs include Risperidone, Trazodone Hcl, Aripiprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michele Hines, M.D. accept Medicare?
Michele Hines, M.D. appears in CMS Medicare data with 357 Part D claims and 72 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michele Hines, M.D.'s credentials?
Michele Hines, M.D.'s NPI is 1194797191 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 (2024). 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 August 2026 (NPPES) / 2024 (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

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 August 2026.