DR. JAMES ROBERT HAYES MD
NPI 1073774097
Internal Medicine in Huntington, WV

Q: What is James Hayes's NPI number?

The NPI number for James Hayes is 1073774097. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Q: What is James Hayes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Hayes was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment

1249 15TH ST, HUNTINGTON, WV 25701(304) 691-1000(304) 691-1693 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2022, May 4, 2021, Jan 6, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Dr. James Robert Hayes Md NPPES

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

DR. JAMES ROBERT HAYES MD (NPI 1073774097) is an individual internal medicine provider in Huntington, West Virginia, licensed in West Virginia (29584) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2008).

NPPES Registry Identity

NPI1073774097

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES ROBERT HAYESCredential: MD

Location Address1249 15TH STHuntington, WV 25701-3661

Mailing Address1249 15th StHuntington, WV 25701-3662

Phone(304) 691-1000

Fax(304) 691-1693

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2008

Enumeration DateJune 23, 2008

Last NPPES UpdateDecember 14, 20224 updates tracked since enumeration

NPPES CertifiedDecember 14, 2022

✔ NPI 1073774097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WV · 29584

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1249 15TH ST, Huntington, WV 25701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Dr. James Robert Hayes Md 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 ID7012104169

PECOS Enrollment IDI20200514000803

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 Reassignments

Medicare enrollment records show James Hayes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Mary's Hospitalist Services, LLC

2.2 mi

Internal Medicine

2900 1ST AVE RM 1025
Huntington, WV 25702

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: St Marys Hospitalist Services LLC
94 clinicians in this Medicare group

NPI 1942432687 (304) 399-7484

Kings Daughters Medical Specialties Inc.,

11 mi

Podiatrist

336 29TH ST STE 301
Ashland, KY 41101

Reassigned Medicare billing, Kentucky enrollment
531 clinicians in this Medicare group

NPI 1528502200 (606) 420-0145

Pikeville Medical Center Inc.

63 mi

Clinic/Center

254 CASSIDY BLVD
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
579 clinicians in this Medicare group

NPI 1710207865 (606) 437-0123

Apogee Medical Group Kentucky Psc

138 mi

General Practice

1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701

Reassigned Medicare billing, Kentucky enrollment
93 clinicians in this Medicare group

NPI 1356503114 (606) 528-1212

Hospitalist Medicine Physicians Of West Virginia, PLLC

146 mi

Internal Medicine

2000 EOFF ST
Wheeling, WV 26003

Reassigned Medicare billing, West Virginia enrollment
193 clinicians in this Medicare group

NPI 1649575101 (304) 234-0123

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.

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.

274 services81 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.

82 services73 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.

58 services25 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.

26 services26 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers51 claims51 services$16.11 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims16 services$3.82 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers52 claims52 services$84.37 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 20

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

FAHAD K SHEIKH MD

Student in an Organized Health Care Education/Training Program

1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

ATEF H EL GASSIER MBBS

Internal Medicine

1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

HEATHER R AULICK CFNP

Nurse Practitioner (Family)

1249 15TH ST, SUITE 4000
HUNTINGTON, WV 25701

Cabell County (304) 691-8500

STEPHANIE NICOLE VANSCOY

Nurse Practitioner (Primary Care)

1249 15TH ST
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

MRS. BARBARA DENISE AKPANUDO FNP-BC

Nurse Practitioner (Family)

1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

PETER OTTAVIANO DO

Internal Medicine (Pulmonary Disease)

1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

FREZGHI KEBREAB MD

Internal Medicine

1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

AMRIT ANAND THAKUR MD

Internal Medicine (Cardiovascular Disease)

1249 15TH ST
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

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 James Hayes's NPI number?

The NPI number for James Hayes is 1073774097. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is James Hayes located?

James Hayes practices at 1249 15th St, Huntington, WV 25701. The listed phone number is (304) 691-1000.

What is James Hayes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Hayes enrolled in Medicare?

Yes. James Hayes 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 James Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hayes reassigns Medicare benefits to 5 organizations: St Mary's Hospitalist Services, LLC (Huntington, WV), Kings Daughters Medical Specialties Inc., (Ashland, KY), Pikeville Medical Center Inc. (Pikeville, KY), Apogee Medical Group Kentucky Psc (Corbin, KY) and Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV). 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 James Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hayes accept?

Health plans from CareSource and Molina Healthcare list James 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.

Is James Hayes affiliated with any hospitals?

According to CMS data, James Hayes is affiliated with St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for James Hayes was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.