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DR. TIMOTHY JOSEPH HAYES MD
NPI 1205065109
Internal Medicine - Rheumatology in Springfield, MO

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
3231 S NATIONAL AVE, SUITE 400, SPRINGFIELD, MO 65807(417) 888-5664(417) 888-6799 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy Joseph Hayes Md NPPES

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

DR. TIMOTHY JOSEPH HAYES MD (NPI 1205065109) is an individual rheumatology provider in Springfield, Missouri, licensed in Missouri (2013029393) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of University Of Missouri, Columbia School Of Medicine (2013).

NPPES Registry Identity

NPI1205065109
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. TIMOTHY JOSEPH HAYESCredential: MD
Location Address3231 S NATIONAL AVE, SUITE 400Springfield, MO 65807-7304
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 888-5664
Fax(417) 888-6799
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013
Enumeration DateJuly 13, 2009
Last NPPES UpdateOctober 1, 2015
✔ NPI 1205065109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in MO · 2013029393✔ Licensed in MO · 2009016613
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2009016613 (MO)
Also ListedPediatricsTaxonomy 208000000X · License 2009016613 (MO)
3231 S NATIONAL AVE, Springfield, MO 65807
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN132680694MO
Medicaid1205065109MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Timothy Joseph Hayes 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 ID9234363912
PECOS Enrollment IDI20150731015530
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 9

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.
665 services349 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
381 services74 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.
89 services64 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
86 services25 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
74 services43 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.
47 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Mercy Hospital - Cassville

Critical Access Hospitals · Cassville, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261317
Location94 Main StreetCassville, MO 65625 · Barry County
Emergency services

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.43 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. MARK H. GRIMM MD
Internal Medicine (Pulmonary Disease)
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 888-5696
DR. JOHN H BROWN MD
Family Medicine
3231 S NATIONAL AVE, SUITE 280
SPRINGFIELD, MO 65807
Greene County (417) 885-0834
DR. JAY L SPARKS MD
Family Medicine
3231 S NATIONAL AVE, SUITE 220
SPRINGFIELD, MO 65807
Greene County (417) 820-7450
DR. DAN R. MOSTROM DPM
Podiatrist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 888-6708
FRANCES H BUNCH LD
Dietitian, Registered
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 820-2000
DR. DAN D PARK DPM
Podiatrist
3231 S NATIONAL AVE, SUITE 160
SPRINGFIELD, MO 65807
Greene County (417) 888-6708
DR. JOE EDWARD HIMES MD
Family Medicine
3231 S NATIONAL AVE, STE 115
SPRINGFIELD, MO 65807
Greene County (417) 888-6790
MRS. MICHELLE S. EPPERSON RPH
Pharmacist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 841-0116

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 Timothy Hayes's NPI number?

The NPI number for Timothy Hayes is 1205065109. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Timothy Hayes located?

Timothy Hayes practices at 3231 S National Ave Suite 400, Springfield, MO 65807. The listed phone number is (417) 888-5664.

What is Timothy Hayes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Timothy Hayes enrolled in Medicare?

Yes. Timothy 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 Timothy Hayes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Timothy 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 Timothy Hayes affiliated with any hospitals?

According to CMS data, Timothy Hayes is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield, Mercy Hospital Aurora, Mercy Hospital - Cassville and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Hayes was last updated on October 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.