DR. KELLY MICHAEL HINES (M.D.) – Anesthesiology Physician, NPI 1174840490

DR. KELLY MICHAEL HINES (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 47147 (KY). The NPI Number for DR. KELLY MICHAEL HINES (M.D.) is 1174840490

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY MICHAEL HINES (M.D.)
NPI
1174840490
Phone
(502) 852-1735
Address
530 S JACKSON ST
Enumeration Date
26 April 2010
Last Update Date
20 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592681030
Graduation Year
2010 (16 years ago)
PAC ID
2163647553
Group Practice PAC ID
9830268671
Professional Enrollment ID
I20140626001690
Address ID
KY402171318LO1XXXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

756 ANESTHESIOLOGY in KY

Provider Addresses for DR. KELLY MICHAEL HINES (M.D.)

  • 530 S JACKSON ST

    ROOM C2A01

    LOUISVILLE, KY 402021675

    Phone: (502) 852-1735

    Fax: (502) 852-3762

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

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: 2014-06-26

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
I20140626001690IAnesthesiologyKYTBD

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
01402Anesthesia for procedure for total knee joint replacement5959$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)4141$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)3130$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2727$0
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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Provider's Procedures

DR. KELLY MICHAEL HINES (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYKY76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1313

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: 9830268671View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

What is the standard ID for DR. KELLY MICHAEL HINES (M.D.) in the U.S.?
In the U.S., DR. KELLY MICHAEL HINES (M.D.) is identified by NPI 1174840490.
Does the public listing show DR. KELLY MICHAEL HINES (M.D.) as active?
DR. KELLY MICHAEL HINES (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. KELLY MICHAEL HINES (M.D.) does?
Insurance directories may phrase it differently, but here DR. KELLY MICHAEL HINES (M.D.) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KELLY MICHAEL HINES (M.D.)?
DR. KELLY MICHAEL HINES (M.D.) is associated with Louisville, Kentucky in the same public data insurers reference.
Who maintains DR. KELLY MICHAEL HINES (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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