DR. MICHAEL F. HAYES D.O.
NPI 1114004371
Family Medicine in Vestal, NY

Q: What is Michael Hayes's NPI number?

The NPI number for Michael Hayes is 1114004371. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Michael Hayes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Hayes was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 November 01, 2006PECOS Enrolled

84.63/100

CMS Quality Rating

4417 VESTAL PKWY E, VESTAL, NY 13850(607) 729-2144(607) 729-2145 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Michael F. Hayes D.o. NPPES

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

DR. MICHAEL F. HAYES D.O. (NPI 1114004371) is an individual family medicine provider in Vestal, New York, licensed in New York (201840) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114004371

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL F. HAYESCredential: D.O.

Location Address4417 VESTAL PKWY EVestal, NY 13850-3556

Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 729-2144 · Fax (607) 729-3145

Phone(607) 729-2144

Fax(607) 729-2145

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateSeptember 15, 2015

✔ NPI 1114004371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 201840

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.

4417 VESTAL PKWY E, Vestal, NY 13850

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Other Identifiers 3

Medicare PINBB4210NY

Medicare UPING51819NY

Medicaid01753057NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael F. Hayes D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Hayes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Health Services Hospitals, Inc.

1.3 mi

Multi-Specialty

33-57 HARRISON ST.
Johnson City, NY 13790

Reassigned Medicare billing, New York enrollment
854 clinicians in this Medicare group

NPI 1962463851 (607) 762-3027

United Medical Associates PC

3.4 mi

Clinic/Center

33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905

Reassigned Medicare billing, New York enrollment
528 clinicians in this Medicare group

NPI 1013972801 (607) 770-0025

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

87 services81 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

84.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.96

Promoting Interoperability

100

Improvement Activities

Cost

54.42

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

79%117 patients4/55-star benchmark: 95%

Depression Utilization of the PHQ-9 Tool

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

Patients 4MonthsOfEnd: 12% · 93 patients

Patients 4MonthsOfStart: 6% · 93 patients

11%91 patients

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

61%352 patients3/55-star benchmark: 99%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

28%2,077 patients2/55-star benchmark: 96%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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