HAYDEN SCOTT HOLBROOK MD
NPI 1215433925
Orthopaedic Surgery in Roanoke, VA

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
54.97/100
CMS Quality Rating
2331 FRANKLIN RD SW, ROANOKE, VA 24014(540) 458-3300 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2024, Apr 15, 2024, Jun 15, 2023 (3 updates tracked since 2023).

About Hayden Scott Holbrook Md NPPES

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

HAYDEN SCOTT HOLBROOK MD (NPI 1215433925) is an individual orthopaedic surgery provider in Roanoke, Virginia, licensed in Virginia (0101281663) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1215433925
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameHAYDEN SCOTT HOLBROOKCredential: MD
Location Address2331 FRANKLIN RD SWRoanoke, VA 24014-1111
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5353
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1215433925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in VA · 0101281663✔ Licensed in IN · 01089317A
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 01089317A (IN)
2331 FRANKLIN RD SW, Roanoke, VA 24014

Secondary Practice Location 1

Location 18501 Harcourt RdIndianapolis, IN 46260-2046 · Phone (317) 875-9105

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

Hayden Scott Holbrook 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 ID2961759857
PECOS Enrollment IDI20241008003415
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

4

Medicare enrollment records show Hayden Holbrook reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dental
2017 JEFFERSON ST SW
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
General Acute Care Hospital
180 FLOYD AVE
Rocky Mount, VA 24151
  • Reassigned Medicare billing, Virginia enrollment
  • 127 clinicians in this Medicare group
Rural Health
18080 MAIN ST
Buchanan, VA 24066
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1942854427 (Virginia)
  • 507 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 4

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.
21 services21 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.
20 services17 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
12 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion Franklin Memorial Hospital

Acute Care Hospitals · Rocky Mount, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490089
Location180 Floyd AvenueRocky Mount, VA 24151 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

54.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.71
Promoting Interoperability78
Improvement Activities40
Cost31.53

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.

Physical Medicine & Rehabilitation
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Orthopaedic Surgery (Hand Surgery)
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physician Assistant (Surgical)
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physician Assistant (Surgical)
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Orthopaedic Surgery
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physical Medicine & Rehabilitation
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physician Assistant
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physical Medicine & Rehabilitation (Sports Medicine)
2331 FRANKLIN RD SW
ROANOKE, VA 24014

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 Hayden Holbrook's NPI number?

The NPI number for Hayden Holbrook is 1215433925. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Hayden Holbrook located?

Hayden Holbrook practices at 2331 Franklin Rd SW, Roanoke, VA 24014. The listed phone number is (540) 458-3300.

What is Hayden Holbrook's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Hayden Holbrook enrolled in Medicare?

Yes. Hayden Holbrook 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 Hayden Holbrook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayden Holbrook reassigns Medicare benefits to 4 organizations: Carilion Medical Center (Roanoke, VA), Carilion Healthcare Corporation (Roanoke, VA), Carilion Franklin Memorial Hospital (Rocky Mount, VA) and Carilion Rockbridge Community Hospital (Buchanan, VA). 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 Hayden Holbrook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hayden Holbrook accept?

Health plans from CareSource list Hayden Holbrook 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 Hayden Holbrook affiliated with any hospitals?

According to CMS data, Hayden Holbrook is affiliated with Carilion Medical Center and Carilion Franklin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hayden Holbrook was last updated on July 25, 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.