Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARGARET HAYDEN MD
NPI 1164985479
Internal Medicine in Charlottesville, VA

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Oct 30, 2023, Sep 2, 2022 and 1 more (4 updates tracked since 2019).

About Margaret Hayden Md NPPES

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

MARGARET HAYDEN MD (NPI 1164985479) is an individual internal medicine provider in Charlottesville, Virginia, licensed in Virginia (0101281952) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1164985479
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARGARET HAYDENCredential: MD
Location Address1222 JEFFERSON PARK AVECharlottesville, VA 22903-3410
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Fax(434) 244-4451
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2019
Enumeration DateApril 12, 2019
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1164985479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101281952
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.
1222 JEFFERSON PARK AVE, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-7107 · Phone (434) 924-0000

Accepted 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

Margaret Hayden 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 ID6002291911
PECOS Enrollment IDI20240731002611
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

3

Medicare enrollment records show Margaret Hayden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Family Medicine
470 TAYLOR RD, SUITE 310
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 439 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.

Areas of Expertise CMS Part B claims

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 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.
59 services55 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

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.

Internal Medicine
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dentist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Podiatrist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Internal Medicine
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Physician Assistant
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dentist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903

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 Margaret Hayden's NPI number?

The NPI number for Margaret Hayden is 1164985479. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Margaret Hayden located?

Margaret Hayden practices at 1222 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-1931.

What is Margaret Hayden's specialty?

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

Is Margaret Hayden enrolled in Medicare?

Yes. Margaret Hayden 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 Margaret Hayden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Hayden reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), University Of Alabama Health Services Foundation, PC (Birmingham, AL) and The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL). 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 Margaret Hayden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Hayden accept?

Health plans from Oscar Health list Margaret Hayden 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 Margaret Hayden affiliated with any hospitals?

According to CMS data, Margaret Hayden is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Hayden was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.