IAN HAYHURST
NPI 1205403425
Physical Therapist - Orthopedic in Fairmont, WV

NPI Status: Active since June 07, 2021

Contact Information

1031 MORGANTOWN AVE
FAIRMONT, WV
ZIP 26554
Phone: (304) 363-0050

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Quality Measures
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 5
Physical Therapist
Orthopedic
Accepts Medicare Approved Payment
Medicare Quality Reporting

About IAN HAYHURST

This page provides the complete NPI Profile along with additional information for Ian Hayhurst, a provider established in Fairmont, West Virginia with a medical specialization in Physical Therapist, focusing in orthopedic and more than 5 years of experience. He graduated from West Virginia University School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1205403425 assigned on June 2021. The practitioner's primary taxonomy code is 2251X0800X with license number 004411 (WV). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1205403425
Provider Name: IAN HAYHURST
Gender: Male
Entity Type: Individual
Location Address: 1031 MORGANTOWN AVE FAIRMONT, WV 26554
Location Phone: (304) 363-0050
Mailing Address: 1031 MORGANTOWN AVE FAIRMONT, WV 26554
Mailing Phone: (304) 363-0050
Medical School Name: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 2021
Is Sole Proprietor?: No
Enumeration Date: 06-07-2021
Last Update Date: 06-07-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physical Therapist Orthopedic
Taxonomy Code: 2251X0800X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 004411
License State: WV
Taxonomy Description: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Medicare Participation & PECOS Enrollment Status

Ian Hayhurst is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 8325400187
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20230811000324
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure	Performance	Number of Patients

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	0	5	4	0	3	4	2	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	0	5	8	0	6	4	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 8 + 0 + 6 + 4 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1205403425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

FAMILY CARE ASSOCIATES, PLLC

Family Medicine

(Adult Medicine)