MR. ETHAN WILLIAM HINES (M.D.) – Family Medicine Physician, NPI 1578756169

MR. ETHAN WILLIAM HINES (M.D.) is a healthcare provider. based in Wapakoneta, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35.097871 (OH). The NPI Number for MR. ETHAN WILLIAM HINES (M.D.) is 1578756169

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. ETHAN WILLIAM HINES (M.D.)
NPI
1578756169
Phone
(197) 385-1514
Address
1251 LINCOLN HWY STE 1
Enumeration Date
27 August 2007
Last Update Date
19 May 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9376525019
Graduation Year
2007 (19 years ago)
PAC ID
8729136106
Group Practice PAC ID
3577551621
Professional Enrollment ID
I20111007000597
Address ID
OH430789799UR1958X36XX500

Contacts

Secure Messaging
ethan.hines@lmpc.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

Provider Addresses for MR. ETHAN WILLIAM HINES (M.D.)

  • 1251 LINCOLN HWY STE 1

    WAPAKONETA, OH 45895

    Phone: (197) 385-1514

    Fax: (419) 941-1092

    Type: Location

  • 2333 E SUBER RD

    PIQUA, OH 453568574

    Phone:

    Type: Mailing

  • Lima Memorial Hospital, 1001, Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States

    LIMA, OH 458042800

    Phone: (419) 998-4574

    Fax: (419) 998-4586

    Type: Mailing

  • 602 W REDSKIN TRL

    WAPAKONETA, OH 458959349

    Phone: (419) 738-5151

    Fax: (419) 941-1092

    Type: Location

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 $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-10-17 • Largest payer in this snapshot: Abbott Laboratories ($17).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-17

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: 2011-10-07

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
I20111007000597IFamily PracticeOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes189176$0
J1100Injection, dexamethasone sodium phosphate, 1 mg11011$0
99214Established patient office or other outpatient visit, 30-39 minutes7470$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2121$0
81003Automated urinalysis test1918$0
View full utilization report →

Insurance plans in this area (ZIP 45895)

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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: 3577551621View full group profile
NameSpecialtyState
Family PracticeOH
Emergency MedicineOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
-OH
Emergency MedicineOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

Where can patients find MR. ETHAN WILLIAM HINES (M.D.)'s NPI?
You can confirm MR. ETHAN WILLIAM HINES (M.D.) with NPI 1578756169; it appears in the national provider directory.
Is MR. ETHAN WILLIAM HINES (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. ETHAN WILLIAM HINES (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for MR. ETHAN WILLIAM HINES (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MR. ETHAN WILLIAM HINES (M.D.)?
The snapshot lists Wapakoneta, Ohio for MR. ETHAN WILLIAM HINES (M.D.); download NPPES for the complete set.
What if Wapakoneta, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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