2026 NPPES data Pediatrics Physician NPI 1639130263 MD
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PAUL HINTON, MD

Pediatrics Physician in LAKE ST LOUIS, Missouri. 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
9K
Medicare Part D claims · 690 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
61 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL HINTON, MD filed 9,243 Medicare Part D claims in 2023 as a Pediatrics Physician in LAKE ST LOUIS, Missouri, prescribing 87% generic.

9K
Part D claims, 2023
87%
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.

PAUL HINTON, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

9,243 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

PAUL HINTON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 PAUL HINTON, MD?

Quality data not reported

NPI registry status

Active

Issued 03/31/2006

NPI 1639130263

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

9,243 1113% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Missouri

How Pediatrics Physician compares to other specialties among Missouri providers

Missouri providers

Pediatrics Physician share within Missouri

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Missouri

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

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).

PAUL HINTON, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 400 MEDICAL PLZ STE 200, LAKE ST LOUIS, MO, 63367, with a listed phone of (636) 625-2662. NPI 1639130263 was issued on 03/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HINTON 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 9,243 prescription claims written by this provider, covering 690 Medicare beneficiaries and totaling roughly $741K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.4%. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

400 MEDICAL PLZ STE 200
LAKE ST LOUIS, MO 63367

Provider Details

NPI 1639130263
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 03/31/2006

Hospital and facility affiliations

Facilities where PAUL HINTON, 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.

AGING WELL HEALTH CARE, LLC
SAINT LOUIS, MO
SSM MEDICAL GROUP INC
LAKE ST LOUIS, MO

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 PAUL HINTON, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Novartis Pharmaceuticals Corporation

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 · Typical

PAUL HINTON, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 9,243 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.

9,243
Total Claims
$741K
Total Drug Cost
690
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,213
Total Day Supply
299,473
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$567K
Generic Drug Cost
$169K
Opioid Claims
126 (1.4% rate)
Antibiotic Claims
172

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
2.01
Gender Split
57% female / 43% male
Age Distribution
<65: 135, 65-74: 251, 75-84: 161, 85+: 143

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What PAUL HINTON, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
463
Levothyroxine Sodium
343
Amlodipine Besylate
312
Pantoprazole Sodium
276
Lisinopril
254
Furosemide
242
Trazodone Hcl
205
Losartan Potassium
201
Eliquis
Apixaban
200
Donepezil Hcl
198

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

Pediatrics Physician Overview

How PAUL HINTON, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

PAUL HINTON, MD's 9,243 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Missouri

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

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

Frequently Asked Questions

What is PAUL HINTON, MD's specialty?
PAUL HINTON, MD specializes in Pediatrics Physician and practices in LAKE ST LOUIS, Missouri. Credentials: MD.
How much does PAUL HINTON, MD prescribe under Medicare Part D?
In 2023, PAUL HINTON, MD wrote 9,243 Medicare Part D claims totaling $741K in drug costs for 690 beneficiaries.
Where is PAUL HINTON, MD located?
PAUL HINTON, MD is located at 400 MEDICAL PLZ STE 200, LAKE ST LOUIS, MO, 63367. Phone: (636) 625-2662.
What is PAUL HINTON, MD's NPI number?
PAUL HINTON, MD's National Provider Identifier (NPI) is 1639130263, issued on 03/31/2006.
Does PAUL HINTON, MD prescribe more brand-name or generic drugs?
PAUL HINTON, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $567K in brand drug costs.
Does PAUL HINTON, MD prescribe opioids?
Yes, PAUL HINTON, MD had 126 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does PAUL HINTON, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL HINTON, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL HINTON, MD accept Medicare?
PAUL HINTON, MD appears in CMS Medicare data with 9,243 Part D claims and 690 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL HINTON, MD's credentials?
PAUL HINTON, MD's NPI is 1639130263 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.
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