KENNETH KAY HINES (M.D.) – Diagnostic Radiology Physician, NPI 1477512747

KENNETH KAY HINES (M.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 44229 (CO). The NPI Number for KENNETH KAY HINES (M.D.) is 1477512747

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH KAY HINES (M.D.)
NPI
1477512747
Phone
Not provided
Address
350 N CLYDE MORRIS BLVD
Enumeration Date
23 March 2006
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3867361948
Graduation Year
1984 (42 years ago)
PAC ID
7719970979
Group Practice PAC ID
9436201233
Professional Enrollment ID
I20080529000730
Address ID
FL321142744DA320XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for KENNETH KAY HINES (M.D.)

  • 350 N CLYDE MORRIS BLVD

    DAYTONA BEACH, FL 321142733

    Phone:

    Type: Mailing

  • 350, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321142733

    Phone: (386) 238-3229

    Fax: (386) 238-3292

    Type: Location

  • Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-04-01 • Largest payer in this snapshot: Boston Scientific Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080529000730IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
73130X-ray of hand, minimum of 3 views6245$0
73110X-ray of wrist, minimum of 3 views4332$0
76536Ultrasound scan of head and neck soft tissue2724$0
71046X-ray of chest, 2 views2320$0
73140X-ray of finger, minimum of 2 views1915$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436201233View full group profile

Reviews

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Frequently asked questions

How do I look up KENNETH KAY HINES (M.D.) by NPI?
Use NPI 1477512747 when you need to reference KENNETH KAY HINES (M.D.) in forms, claims, or directories.
Is KENNETH KAY HINES (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KENNETH KAY HINES (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for KENNETH KAY HINES (M.D.). Clinical services aligned with this taxonomy classification.
Where is KENNETH KAY HINES (M.D.)'s primary listing?
We display Daytona Beach, Florida because that is what the record indicates for KENNETH KAY HINES (M.D.).
How can I contact KENNETH KAY HINES (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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