PAUL A HINTON (MD) – Internal Medicine Physician, NPI 1639130263
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
Provider Addresses for PAUL A HINTON (MD)
400 MEDICAL PLZ STE 200
LAKE ST LOUIS, MO 633671417
Phone: (636) 625-2662
Fax: (636) 294-5908
Type: Location
1002, Peruque Crossing Court, O’Fallon, Saint Charles County, Missouri, 63366, United States
STE 101
O FALLON, MO 633662362
Phone: (636) 294-5900
Fax: (636) 294-5908
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $2,432.
Total Amount is formed as General ($2,432) + Research ($0) + Ownership ($0) = $2,432.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($328).
Total Amount
$2,432
General + Research + Ownership
Payments
136
Total payment records
General Amount
$2,432
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060410000548 | I | Internal Medicine | MO | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,759 | 259 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,299 | 490 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 751 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 519 | 279 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 495 | 122 | $0 |
Insurance plans in this area (ZIP 63367)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 83036 | Hemoglobin A1C level | 29 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Internal Medicine, Sleep Medicine | MO | |
| Internal Medicine, Allergy/Immunology | MO | |
| Internal Medicine | MO | |
| Geriatric Medicine | MO | |
| Internal Medicine | MO | |
| Osteopathic Manipulative Medicine | MO | |
| Orthopedic Surgery | MO | |
| Internal Medicine, Pediatric Medicine | MO | |
| - | MO |
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