HOWARD HINES M.D.
NPI 1285685412
Dermatology in Salisbury, MD
NPI Status: Active since May 12, 2006
Contact Information
106 MILFORD ST STE 301
SALISBURY, MD
ZIP 21804
Phone: (410) 546-4431
Fax: (410) 543-8259
- Individual
- Male
- Years of Experience 49
- Dermatology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About HOWARD HINES
This page provides the complete NPI Profile along with additional information for Howard Hines, a provider established in Salisbury, Maryland with a medical specialization in Dermatology and more than 49 years of experience. He graduated from University Of Maryland School Of Medicine in 1977. The healthcare provider is registered in the NPI registry with number 1285685412 assigned on May 2006. The practitioner's primary taxonomy code is 207N00000X with license number D20987 (MD). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1285685412
- Provider Name
- HOWARD HINES M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 106 MILFORD ST STE 301 SALISBURY, MD 21804
- Location Phone
- (410) 546-4431
- Location Fax
- (410) 543-8259
- Mailing Address
- 801 YORK ST MANITOWOC, WI 54220
- Mailing Phone
- (920) 663-9008
- Mailing Fax
- (410) 543-8259
- Medical School Name
- UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
- Graduation Year
- 1977
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-12-2006
- Last Update Date
- 12-07-2023
- Code Navigator
A dermatologist like Howard Hines is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Secondary Locations
- 601 N Caroline St
Baltimore, MD 21287
(410) 955-5933
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D20987
- License State
- MD
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
157351900 | MEDICAID (05) | MD |
Medicare Participation & PECOS Enrollment Status
Howard Hines is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Howard Hines is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8729102314
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100903000211
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
Application of light to destroy precancer skin growth
Biopsy of ear
Biopsy of related skin growth, each additional growth
Biopsy of related skin growth, first growth
Biopsy of related skin growth, first growth
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm
Destruction of precancer skin growth, 1 growth
Destruction of precancer skin growth, 15 or more growths
Destruction of precancer skin growth, 2-14 growths
Destruction of skin growth, 1-14 growths
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection into skin growth, 1-7 growths
Injection into skin growth, more than 7 growths
Injection of drug or substance under skin or into muscle
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Punch biopsy, first skin growth
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
Therapy procedure using ultraviolet radiation with tar or petroleum jelly application
Treatment of inflammatory skin disease using laser, less than 250.0 sq cm
Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.
This service was performed 57 times for 31 patientsThis procedure involves the use of special light to eradicate precancerous skin growths. The light targets abnormal cells causing them to die off, while leaving healthy skin unharmed. It's a non-invasive method that helps prevent skin cancer.
This service was performed 49 times for 31 patientsA biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.
This service was performed 21 times for 21 patientsA biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
This service was performed 13 times for 12 patientsA biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
This service was performed 11 times for 11 patientsA biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
This service was performed 168 times for 153 patientsThis procedure involves the removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that measures between 1.1 to 2.0 cm. It's done to prevent the spread of cancer and improve health.
This service was performed 15 times for 14 patientsThis procedure involves the removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 2.1-3.0 cm in size. The goal is to eliminate the cancer and reduce the risk of it spreading.
This service was performed 15 times for 14 patientsThis procedure involves removing a cancerous growth on the scalp, neck, hands, or feet that measures between 2.1-3.0 cm. It's done using various techniques like surgery, laser, or freezing, aiming to eliminate all cancer cells while preserving healthy tissue.
This service was performed 13 times for 13 patientsThis procedure targets and eliminates a cancerous skin growth between 2.1 and 3.0 cm on your trunk, arms, or legs. It's done by applying specific treatments like heat, cold, or medicated creams to destroy the cancer cells, preventing them from spreading.
This service was performed 24 times for 24 patients"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
This service was performed 1,595 times for 1,078 patientsThis procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
This service was performed 111 times for 74 patientsThis procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
This service was performed 4,252 times for 767 patients"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
This service was performed 569 times for 487 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 150 times for 105 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 13 times for 13 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 2,489 times for 1,397 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 11 times for 11 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 437 times for 272 patientsThis procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
This service was performed 123 times for 55 patientsThis procedure involves injecting medication into multiple skin growths (more than 7) to either shrink them or eliminate them. It's a safe, minimally invasive method often used for benign growths. Comfort during the process is ensured.
This service was performed 29 times for 14 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 150 times for 68 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 602 times for 110 patientsThis procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
This service was performed 37 times for 37 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 60 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 11 times for 11 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 205 times for 205 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 31 times for 31 patientsA punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
This service was performed 43 times for 39 patientsThis procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
This service was performed 16 times for 16 patientsThis procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.
This service was performed 12 times for 12 patientsThis procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.
This service was performed 16 times for 16 patientsThis procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
This service was performed 36 times for 34 patientsThis procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.
This service was performed 119 times for 92 patientsThis procedure involves the removal of a skin growth on your body, arms, or legs that is over 2.0 cm. A special tool is used to shave off the growth, often under local anesthesia. It's a routine, safe process to maintain skin health.
This service was performed 14 times for 14 patientsThis procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.
This service was performed 35 times for 35 patientsThis procedure involves the careful removal of a skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth being treated is between 1.1 and 2.0 cm in size. The process is typically quick, with minimal discomfort, and aids in maintaining skin health.
This service was performed 65 times for 61 patientsThis procedure involves the careful removal of a small skin growth, between 0.6-1.0 cm in size, from the scalp, neck, hands, or feet. It's done using a special tool to gently shave off the growth, ensuring minimal discomfort.
This service was performed 23 times for 22 patientsThis procedure involves the careful removal of a skin growth between 1.1 to 2.0 cm in size. The growth could be located on the scalp, neck, hands, or feet. The process is done using a sharp instrument to shave off the growth, promoting healthier skin.
This service was performed 63 times for 55 patientsThis therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.
This service was performed 448 times for 39 patientsThis treatment involves using laser technology to target and reduce inflammation in skin diseases. It's suitable for treating areas less than 250.0 sq cm. The laser light helps to minimize inflammation, promoting healing in the affected area.
This service was performed 257 times for 18 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.43 for a new patient copayment and $18.05 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21804 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.23
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
Documentation of Current Medications in the Medical Record | 100% | 22 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Electronic submission of Patient Centered Medical Home accreditation | Yes | N/A |
I attest that I am a Patient Centered Medical Home (PCMH) or Comparable Specialty Practice that has achieved certification from a national program, regional or state program, private payer, or other body that administers patient-centered medical home accreditation and should receive full credit for the Improvement Activities performance category. | ||
e-Prescribing | 99% | 4939 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Medication Reconciliation | 96% | 6080 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Pain Assessment and Follow-Up | 100% | 22 |
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present | ||
Patient-Specific Education | 1% | 3476 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Provide Patient Access | 16% | 3476 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Specialized Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Syndromic Surveillance Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI. | ||
Use of certified EHR to capture patient reported outcomes | Yes | N/A |
In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review. |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Howard Hines is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
JOHNS HOPKINS HOSPITAL, THE | 600 NORTH WOLFE STREET BALTIMORE, MD 21287 | (410) 955-5000 | Acute Care Hospitals | |
TIDALHEALTH PENINSULA REGIONAL, INC | 100 EAST CARROLL AVENUE SALISBURY, MD 21801 | (410) 546-6400 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 6 | 8 | 5 | 4 | 1 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 12 | 8 | 10 | 4 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 1 + 0 + 4 + 2 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1285685412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1437184041 | PENINSULA DERMATOLOGY ASSOCIATES,P.A. Organization | Specialist | 106 MILFORD ST STE 301 SALISBURY, MD 21804 (410) 546-4431 |
1740248236 | ELIZABETH MARY BURKE M.D. Individual | Dermatology | 106 MILFORD ST STE 301 SALISBURY, MD 21804 (410) 546-4431 |
1962437590 | LUETTE S. SEMMES M.D. Individual | Dermatology | 106 MILFORD ST STE 301 SALISBURY, MD 21804 (410) 546-4431 |
1821685793 | FOREFRONT DERMATOLOGY SC Organization | Dermatology | 106 MILFORD ST STE 301 SALISBURY, MD 21804 (410) 546-4431 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285685412, enumerated in the NPI registry as an "individual" on May 12, 2006
The provider is located at 106 Milford St Ste 301 Salisbury, Md 21804 and the phone number is (410) 546-4431
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider has more than 49 years of experience. He graduated from University Of Maryland School Of Medicine in 1977.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $72.23 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg), Application of light to destroy precancer skin growth, Biopsy of ear, Biopsy of related skin growth, each additional growth, Biopsy of related skin growth, first growth, Biopsy of related skin growth, first growth, Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm, Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm, Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm, Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm, Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 15 or more growths, Destruction of precancer skin growth, 2-14 growths, Destruction of skin growth, 1-14 growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection into skin growth, 1-7 growths, Injection into skin growth, more than 7 growths, Injection of drug or substance under skin or into muscle, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm, Melanoma (skin cancer) excision, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Punch biopsy, first skin growth, Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm, Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm, Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm, Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm, Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm, Shaving of skin growth of body, arms, or legs, more than 2.0 cm, Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm, Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm, Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm, Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm, Therapy procedure using ultraviolet radiation with tar or petroleum jelly application and Treatment of inflammatory skin disease using laser, less than 250.0 sq cm.
The practitioner is affiliated to the following hospital(s): JOHNS HOPKINS HOSPITAL, THE and TIDALHEALTH PENINSULA REGIONAL, INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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