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SARA HAYES DALTON NP
NPI 1194828244
Nurse Practitioner - Adult Health in Falmouth, MA

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
97.03/100
CMS Quality Rating
100 TER HEUN DR, FALMOUTH, MA 02540(508) 457-3748(508) 457-3749 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sara Hayes Dalton Np NPPES

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

SARA HAYES DALTON NP (NPI 1194828244) is an individual adult health provider in Falmouth, Massachusetts, licensed in New York (F300800) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Falmouth Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1194828244
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSARA HAYES DALTONCredential: NP
Location Address100 TER HEUN DRFalmouth, MA 02540-2503
Mailing Address100 Ter Heun DrFalmouth, MA 02540-2503 · (508) 457-3748 · Fax (508) 457-3749
Phone(508) 457-3748
Fax(508) 457-3749
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 6, 2006
Last NPPES UpdateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1194828244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F300800
100 TER HEUN DR, Falmouth, MA 02540
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Sara Hayes Dalton Np 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 ID3678676319
PECOS Enrollment IDI20211111002055
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 8

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
8,520 services134 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
3,570 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
174 services149 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.
155 services142 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.
139 services139 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.
127 services117 patients

Hospital Affiliations CMS Care Compare

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

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02540 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware E2612
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$28.34 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$64.16 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.

DR. WILLIAM STEPHEN SUTTON-OHANNESIAN DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
DR. BERTRAND STEVENS DUNCAN M.D.
Surgery
100 TER HEUN DR, FALMOUTH HOSPITAL
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
CAPE COD HEALTHCARE INC
General Acute Care Hospital
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
DR. SARAH TODD MD
Emergency Medicine
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 457-3660
RACHEL TROSKY FNP-C
Nurse Practitioner (Family)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
MICHAEL JAMES O'CONNELL D.O
Emergency Medicine
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 457-3660
JILLIAN N STONE NP
Nurse Practitioner (Acute Care)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
MARK STEPHEN KAMP MD
Anesthesiology
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-8989

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 Sara Dalton's NPI number?

The NPI number for Sara Dalton is 1194828244. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Sara Dalton located?

Sara Dalton practices at 100 Ter Heun Dr, Falmouth, MA 02540. The listed phone number is (508) 457-3748.

What is Sara Dalton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sara Dalton enrolled in Medicare?

Yes. Sara Dalton 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 Sara Dalton accept?

Health plans from Anthem Blue Cross and Blue Shield list Sara Dalton 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 Sara Dalton affiliated with any hospitals?

According to CMS data, Sara Dalton is affiliated with Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Sara Dalton was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.