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

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: October 18, 2026.

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

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 Memorial Medical Center, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sean Hayes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springfield Clinic, LLP
1.3 mi
Multi-Specialty
1025 S 6TH ST
Springfield, IL 62703
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1780638478 (217) 528-7541

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.

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 3

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

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

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141322
Location200 Stahlhut DriveLincoln, IL 62656 · Logan County
Emergency services

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

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.

Which organization bills Medicare for Sean Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Hayes reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). The 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 Sean Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Hayes affiliated with any hospitals?

According to CMS data, Sean Hayes is affiliated with Memorial Medical Center, Abraham Lincoln Memorial Hospital and Taylorville 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 15 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.