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HAYLEY SPRINGS D.O.
NPI 1013458264
Surgery in Downers Grove, IL

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
99.5/100
CMS Quality Rating
3825 HIGHLAND AVE STE 303, DOWNERS GROVE, IL 60515(630) 275-7800(630) 241-9215 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2023, Oct 2, 2023, Apr 8, 2022 and 1 more (4 updates tracked since 2017).

About Hayley Springs D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYLEY SPRINGS D.O. (NPI 1013458264) is an individual surgery provider in Downers Grove, Illinois, licensed in Illinois (036.166215) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013458264
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameHAYLEY SPRINGSCredential: D.O.
Location Address3825 HIGHLAND AVE STE 303Downers Grove, IL 60515-1562
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Phone(630) 275-7800
Fax(630) 241-9215
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateNovember 7, 20234 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1013458264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.166215
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3825 HIGHLAND AVE STE 303, Downers Grove, IL 60515
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1250 E Dunlap AvePhoenix, AZ 85020-2825 · Phone (602) 870-6060 ext. 2696 · Fax (602) 216-5615
Location 2285 E State St Ste 500Columbus, OH 43215-4359 · Phone (614) 566-8888 · Fax (614) 566-8098

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hayley Springs D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860753787
PECOS Enrollment IDI20231013002294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hayley Springs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corporation
Same address
Cardiovascular Disease
3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1629441027 (Illinois)
  • 4,870 clinicians in this Medicare group
NPI 1285903849 (630) 719-4799

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
100 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
87 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
51 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.15
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAROLD HENRY BACH IV M.D.
Surgery
3825 HIGHLAND AVE STE 303
DOWNERS GROVE, IL 60515
Dupage County (630) 275-7800
DR. PAUL GEOFFREY VANA M.D.
Surgery
3825 HIGHLAND AVE STE 303
DOWNERS GROVE, IL 60515
Dupage County (630) 275-7800
DR. NINA A. PALEOLOGOS MD
Psychiatry & Neurology (Neurology)
3825 HIGHLAND AVE STE 303, ADVOCATE MEDICAL GROUP DOWNERS GROVE HIGHLAND AVENUE
DOWNERS GROVE, IL 60515
Dupage County (844) 376-3876
KAREN L. SCHNEIDER APN
Nurse Practitioner (Family)
3825 HIGHLAND AVE STE 303
DOWNERS GROVE, IL 60515
Dupage County (630) 275-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hayley Springs's NPI number?

The NPI number for Hayley Springs is 1013458264. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Hayley Springs located?

Hayley Springs practices at 3825 Highland Ave Ste 303, Downers Grove, IL 60515. The listed phone number is (630) 275-7800.

What is Hayley Springs's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Hayley Springs enrolled in Medicare?

Yes. Hayley Springs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Hayley Springs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Springs reassigns Medicare benefits to Advocate Health And Hospitals Corporation (Downers Grove, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hayley Springs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hayley Springs accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Hayley Springs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hayley Springs affiliated with any hospitals?

According to CMS data, Hayley Springs is affiliated with Advocate Sherman Hospital, Advocate Christ Hospital & Medical Center, Advocate Lutheran General Hospital and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Hayley Springs was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.