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ROBERT HAYS M.D.
NPI 1043530165
Family Medicine in South Bend, IN

Active since June 11, 2010PECOS EnrolledAccepts Medicare Assignment
17321 STATE ROAD 23, SOUTH BEND, IN 46635(574) 335-8400(574) 335-0796 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Hays M.d. NPPES

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

ROBERT HAYS M.D. (NPI 1043530165) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01070465A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Indiana University School Of Medicine (2010).

NPPES Registry Identity

NPI1043530165
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT HAYSCredential: M.D.
Location Address17321 STATE ROAD 23South Bend, IN 46635-1531
Mailing Address707 E Cedar St, Ste 200South Bend, IN 46617-2057 · (574) 335-8700 · Fax (574) 335-0741
Phone(574) 335-8400
Fax(574) 335-0796
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2010
Enumeration DateJune 11, 2010
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1043530165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01070465A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 35.122326 (OH), 01070465A (IN)
17321 STATE ROAD 23, South Bend, IN 46635
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Other Identifiers 4

Other000000933138IN · Bcbs
OtherP01504486IN · Rr Medicare
Medicare PIN187580001IN
Medicaid201104820IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Hays 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.

PECOS PAC ID7315184306
PECOS Enrollment IDI20140804002337
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.

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.

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.
2,654 services302 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.
466 services190 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.
272 services253 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
147 services140 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
99 services97 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier21 claims315 services$6.36 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier21 claims651 services$4.51 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier19 claims152 services$3.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers39 claims39 services$17.20 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$6.69 avg. paid by Medicare
Wheelchair accessory, elevating leg rest, complete assembly, each E0990
DME-Wheelchairs · category DD021N
1 supplier19 claims20 services$6.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ROBERT PRESTON KING M.D.
Family Medicine
17321 STATE ROAD 23
SOUTH BEND, IN 46635
St. Joseph County (574) 335-8400
DOUGLAS DEAN DOCTOR M.D.
Family Medicine
17321 STATE ROAD 23
SOUTH BEND, IN 46635
St. Joseph County (574) 335-8400
SUSAN LYNN CONN NP
Nurse Practitioner (Family)
17321 STATE ROAD 23
SOUTH BEND, IN 46635
St. Joseph County (574) 335-8400

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 Robert Hays's NPI number?

The NPI number for Robert Hays is 1043530165. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Robert Hays located?

Robert Hays practices at 17321 State Road 23, South Bend, IN 46635. The listed phone number is (574) 335-8400.

What is Robert Hays's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Hays enrolled in Medicare?

Yes. Robert Hays 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.

What insurance does Robert Hays accept?

Health plans from CareSource list Robert Hays 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 Robert Hays affiliated with any hospitals?

According to CMS data, Robert Hays is affiliated with Saint Joseph Regional Medical Center, Elkhart General Hospital and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Robert Hays was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.