MICHAEL J HAYES M.D.
NPI 1174587943
Internal Medicine in Marion, OH

Q: What is Michael Hayes's NPI number?

The NPI number for Michael Hayes is 1174587943. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Q: What is Michael 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 Michael Hayes was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 17, 2006PECOS EnrolledAccepts Medicare Assignment

980 S PROSPECT ST, SUITE 1, MARION, OH 43302(740) 387-6400(740) 387-6027 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael J Hayes M.d. NPPES

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

MICHAEL J HAYES M.D. (NPI 1174587943) is an individual internal medicine provider in Marion, Ohio, licensed in Ohio (35.049227) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Michigan State University College Of Human Medicine (1980).

NPPES Registry Identity

NPI1174587943

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL J HAYESCredential: M.D.

Location Address980 S PROSPECT ST, SUITE 1Marion, OH 43302-6225

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(740) 387-6400

Fax(740) 387-6027

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 1980

Enumeration DateApril 17, 2006

Last NPPES UpdateMarch 21, 2022

NPPES CertifiedMarch 21, 2022

✔ NPI 1174587943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.049227

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.

980 S PROSPECT ST, Marion, OH 43302

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Other Identifiers 9

Other311098079111OH · Cigna

Medicaid0521368OH

Other353077OH · Clearinghouse Submitter#

Other9121643OH · Medicare Group

Other000000118433Anthem Bcbs

Other311098079OH · Pponext

Other0400328OH · Uhc

Other634982OH · Aetna

Other9121647OH · Medicare Group

Accepted Insurance

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

Michael J 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 ID6305874751

PECOS Enrollment IDI20050727001253

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 13

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.

1,738 services346 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.

395 services194 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

225 services96 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

177 services175 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

175 services173 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

85 services85 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

50 services47 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

46 services22 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

28 services26 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.

21 services20 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360011

Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County

Emergency services Birthing friendly

Morrow County Hospital

Critical Access Hospitals · Mount Gilead, OH

OwnershipGovernment - Local

CMS Certification Number361313

Location651 West Marion RoadMount Gilead, OH 43338 · Morrow County

Emergency services

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number361315

Location921 East Franklin StreetKenton, OH 43326 · Hardin County

Emergency services

Wyandot Memorial Hospital

Critical Access Hospitals · Upper Sandusky, OH

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361329

Location885 North Sandusky AvenueUpper Sandusky, OH 43351 · Wyandot County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers66 claims159 services$6.40 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers14 claims18 services$1.07 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers18 claims84 services$2.61 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 suppliers22 claims22 services$108.72 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers15 claims1,390 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers36 claims36 services$195.45 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

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

VIVEK RAJAN AWASTY MD

Internal Medicine

980 S PROSPECT ST, SUITE 2
MARION, OH 43302

Marion County (740) 383-7250

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 Michael Hayes's NPI number?

The NPI number for Michael Hayes is 1174587943. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Michael Hayes located?

Michael Hayes practices at 980 S Prospect St Suite 1, Marion, OH 43302. The listed phone number is (740) 387-6400.

What is Michael Hayes's specialty?

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

Is Michael Hayes enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Hayes accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Michael 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 Michael Hayes affiliated with any hospitals?

According to CMS data, Michael Hayes is affiliated with Riverside Methodist Hospital, Marion General Hospital, Morrow County Hospital, Hardin Memorial Hospital and Wyandot Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Hayes was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.