JON HAYNES M.D.
NPI 1023404498
Emergency Medicine in Sacramento, CA
About Jon Haynes M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JON HAYNES M.D. (NPI 1023404498) is an individual emergency medicine provider in Sacramento, California, licensed in California (A145049) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
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
Jon Haynes M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jon Haynes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95819
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1548216260 (California)
- 2,323 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 168 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Jon Haynes's NPI number?
The NPI number for Jon Haynes is 1023404498. It was assigned to this individual provider in the NPPES registry on April 12, 2015.
Where is Jon Haynes located?
Jon Haynes practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-8570.
What is Jon Haynes's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jon Haynes enrolled in Medicare?
Yes. Jon Haynes 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 organizations bill Medicare for Jon Haynes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jon Haynes reassigns Medicare benefits to 3 organizations: Cep America - California (Sacramento, CA), Solano Gateway Medical Group Inc (Fairfield, CA) and San Francisco Physicians International Medical Group, Inc (San Ramon, CA). Each 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 Jon Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jon Haynes was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jon Haynes, M.D. · NPI 1023404498
Emergency Medicine physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since April 12, 2015.
## Identity
- **NPI:** 1023404498 (Entity type: Individual)
- **Enumerated:** April 12, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A145049 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817
- **Phone:** (916) 734-8570 · **Fax:** (916) 734-7950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1356695092, Sacramento, CA); Solano Gateway Medical Group Inc (NPI 1952344293, Fairfield, CA); San Francisco Physicians International Medical Group, Inc (NPI 1841220720, San Ramon, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** July 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1023404498) · Data from the CMS NPPES public registry.