DR. SEAN DAVID HAYES M.D.
NPI 1326337692
Internal Medicine in Springfield, IL

Q: What is Sean Hayes's NPI number?

The NPI number for Sean Hayes is 1326337692. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Q: What is Sean 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 Sean Hayes was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 07, 2011PECOS EnrolledAccepts Medicare Assignment

701 N 1ST ST, SPRINGFIELD, IL 62781(217) 528-7541(217) 606-3057 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2020, Oct 19, 2016 (2 updates tracked since 2016).

On this page

About Dr. Sean David Hayes M.d. NPPES

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

DR. SEAN DAVID HAYES M.D. (NPI 1326337692) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (036141303) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (2011).

NPPES Registry Identity

NPI1326337692

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SEAN DAVID HAYESCredential: M.D.

Location Address701 N 1ST STSpringfield, IL 62781-2403

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(217) 528-7541

Fax(217) 606-3057

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2011

Enumeration DateApril 7, 2011

Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1326337692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036141303

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.

701 N 1ST ST, Springfield, IL 62781

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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. Sean David 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 ID1052530987

PECOS Enrollment IDI20160826000846

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

318 services156 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

276 services136 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

129 services128 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

96 services96 patients

Hospital Affiliations CMS Care Compare 4

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141339

Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County

Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141352

Location1600 W Walnut StJacksonville, IL 62650 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62781 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 2

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

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

2 suppliers28 claims29 services$97.24 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

1 supplier12 claims12 services$200.12 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. LUCAS B STOLLER PHARMD

Pharmacist (Critical Care)

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 588-6402

DR. REBECCA NICHOLE MAHON PHD. DABR

Radiology (Radiological Physics)

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3000

CAROL A GORDEN CRNA

Nurse Anesthetist, Certified Registered

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3754

MEMORIAL HOME SERVICES

Hospice Care, Community Based

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-4663

DR. SWAPNA NEKKANTI M.D

Hospitalist

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 528-7541

ANN R LARSON CRNA

Nurse Anesthetist, Certified Registered

701 N 1ST ST, ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3754

KELSEY A WALLACE CRNA

Nurse Anesthetist, Certified Registered

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3000

MEMORIAL MEDICAL CENTER

Clinic/Center (Multi-Specialty)

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3000

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 Sean Hayes's NPI number?

The NPI number for Sean Hayes is 1326337692. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Sean Hayes located?

Sean Hayes practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 528-7541.

What is Sean Hayes's specialty?

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

Is Sean Hayes enrolled in Medicare?

Yes. Sean 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.

Is Sean Hayes affiliated with any hospitals?

According to CMS data, Sean Hayes is affiliated with St Johns Hospital, Memorial Medical Center, Taylorville Memorial Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sean Hayes was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.