JOHN S. HAYES M.D.
NPI 1154520476
Internal Medicine - Nephrology in The Villages, FL

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment

1400 N US HIGHWAY 441 STE 522, THE VILLAGES, FL 32159(434) 466-4753(352) 388-7001 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 8, 2021, Apr 16, 2021 and 4 more (7 updates tracked since 2017).

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About John S. Hayes M.d. NPPES

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

JOHN S. HAYES M.D. (NPI 1154520476) is an individual nephrology provider in The Villages, Florida, licensed in Florida (ME129748) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1154520476

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJOHN S. HAYESCredential: M.D.

Location Address1400 N US HIGHWAY 441 STE 522The Villages, FL 32159-8983

Mailing Address13900 County Road 455, Unit 107 #373Clermont, FL 34711-9029 · (352) 388-5800 · Fax (352) 388-7001

Phone(434) 466-4753

Fax(352) 388-7001

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 16, 2007

Last NPPES UpdateJuly 21, 20227 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1154520476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME129748

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME129748 (FL)

1400 N US HIGHWAY 441 STE 522, The Villages, FL 32159

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Secondary Practice Locations 4

Location 1511 Medical Plaza Dr Ste 101Leesburg, FL 34748-7328 · Phone (352) 728-6808 · Fax (352) 728-1743

Location 28485 SE 165th Mulberry LnThe Villages, FL 32162-5847 · Phone (352) 728-6808 · Fax (352) 728-1743

Location 3601 E Dixie Ave Ste 805Leesburg, FL 34748-5994 · Phone (352) 728-6808 · Fax (352) 728-1743

Location 41865 Nightingale Ln # ATavares, FL 32778-4360 · Phone (352) 388-5800 · Fax (352) 388-7001

Other Identifiers 2

Medicaid1154520476VA

Medicaid103095557001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

John S. Hayes 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 ID1254581549

PECOS Enrollment IDI20170717003181

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 21

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

2,042 services161 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

1,328 services173 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.

943 services526 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

913 services142 patients

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.

642 services236 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

635 services49 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

335 services49 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

222 services65 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

216 services36 patients

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.

152 services138 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.

144 services135 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

142 services142 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

117 services44 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

84 services45 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

62 services53 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

45 services27 patients

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420

This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.

32 services32 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.

27 services25 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

24 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100084

Location600 E Dixie AveLeesburg, FL 34748 · Lake County

Emergency services Birthing friendly

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100290

Location1451 El Camino RealThe Villages, FL 32159 · Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 4

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

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims1,980 services$0.55 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers12 claims2,040 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers11 claims11 services$17.23 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier11 claims12 services$12.63 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 2

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

CRISTEN ELAINE COX APRN

Nurse Practitioner

1400 N US HIGHWAY 441 STE 522
THE VILLAGES, FL 32159

Lake County (352) 560-7337

SUNSHINE KIDNEY CARE LLC

Internal Medicine (Nephrology)