DAVID THEODORE HAYES M.D.
NPI 1043260656
Pediatrics in Denison, TX
About David Theodore Hayes M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID THEODORE HAYES M.D. (NPI 1043260656) is an individual pediatrics provider in Denison, Texas, licensed in Texas (H1373) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Theodore Hayes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show David Hayes reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denison, TX 75020
- Reassigned Medicare billing, Texas enrollment
- 66 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Adams, WI 53910
- Reassigned Medicare billing, Wisconsin enrollment
- 397 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Elkins, WV 26241
- Reassigned Medicare billing, West Virginia enrollment
- 246 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DENISON, TX 75020
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 David Hayes's NPI number?
The NPI number for David Hayes is 1043260656. It was assigned to this individual provider in the NPPES registry on May 12, 2006. The provider is also known as Ted Hayes M.D..
Where is David Hayes located?
David Hayes practices at 5012 S Us Highway 75 Suite 300, Denison, TX 75020. The listed phone number is (903) 416-6200.
What is David Hayes's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is David Hayes enrolled in Medicare?
Yes. David Hayes is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for David Hayes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Hayes reassigns Medicare benefits to 6 organizations: Texomacare (Denison, TX), Dean Health Systems, Inc (Madison, WI), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Plover, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and 1 more organization, listed in the Medicare section above. 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 David Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Hayes accept?
Health plans from Aspirus Health Plan, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, CareSource and Group Health Cooperative-SCW and 5 other insurers list David Hayes 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.
When was this NPI record last updated?
The NPPES record for David Hayes was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# David Theodore Hayes, M.D. · NPI 1043260656
Pediatrics physician in Denison, Texas. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1043260656 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** H1373 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5012 S US HIGHWAY 75, SUITE 300, Denison, TX 75020-4587
- **Phone:** (903) 416-6200 · **Fax:** (903) 416-6201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Texomacare (NPI 1740233592, Denison, TX); Dean Health Systems, Inc (NPI 1053358846, Madison, WI); Aspirus Riverview Hospital & Clinics, Inc. (NPI 1114411287, Adams, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1053080168, Plover, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745, Stevens Point, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2026
- **Other identifiers:** Medicaid 100145820A (OK); Medicaid 131758803 (TX); Medicaid 1043260656 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1043260656) · Data from the CMS NPPES public registry.