DR. MICHAEL G. HAYES M.D.
NPI 1376562074
Internal Medicine - Cardiovascular Disease in Newport, VT

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
90.05/100
CMS Quality Rating
189 PROUTY DR, NEWPORT, VT 05855(802) 334-3262 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael G. Hayes M.d. NPPES

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

DR. MICHAEL G. HAYES M.D. (NPI 1376562074) is an individual cardiovascular disease provider in Newport, Vermont, licensed in Vermont (042.0009957) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Berlin.

NPPES Registry Identity

NPI1376562074
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL G. HAYESCredential: M.D.
Location Address189 PROUTY DRNewport, VT 05855-9326
Mailing AddressPo Box 547, Central Vermont Medical Center-finance DeptBarre, VT 05641-0547 · (802) 225-5660 · Fax (802) 229-9533
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1996
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
NPI 1376562074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VT · 042.0009957
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 0420009957 (VT)
189 PROUTY DR, Newport, VT 05855

Secondary Practice Location 1

Location 1130 Fisher Rd, MOB-A Suite 2-1Berlin, VT 05602-9516 · Phone (802) 225-5660 · Fax (802) 229-2533

Other Identifiers 4

Medicaid1009833VT
OtherP01125403VT · Railroad Medicare Linked To Cvmc
OtherY400624898VT · Medicare
OtherP00167121VT · Rail Road Medicare

Accepted 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. Michael G. 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 ID1153315866
PECOS Enrollment IDI20040414000214
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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
196 services178 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
143 services142 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
119 services108 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
41 services40 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.
29 services29 patients
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.
28 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471304
Location189 Prouty DriveNewport, VT 05855 · Orleans County
Emergency services

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05855 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

90.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost50.17

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
1 supplier12 claims12 services$119.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 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.

Nurse Practitioner (Adult Health)
189 PROUTY DR
NEWPORT, VT 05855
Physician Assistant
189 PROUTY DR
NEWPORT, VT 05855
Family Medicine
189 PROUTY DR
NEWPORT, VT 05855
Speech-Language Pathologist
189 PROUTY DR
NEWPORT, VT 05855
Emergency Medicine
189 PROUTY DR, EMERGENCY DEPARTMENT
NEWPORT, VT 05855
Internal Medicine (Sleep Medicine)
189 PROUTY DR
NEWPORT, VT 05855
Radiology (Diagnostic Radiology)
189 PROUTY DR
NEWPORT, VT 05855
General Acute Care Hospital (Critical Access)
189 PROUTY DR
NEWPORT, VT 05855

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 Michael Hayes's NPI number?

The NPI number for Michael Hayes is 1376562074. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Michael Hayes located?

Michael Hayes practices at 189 Prouty Dr, Newport, VT 05855. The listed phone number is (802) 334-3262.

What is Michael Hayes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Hayes enrolled in Medicare?

Yes. Michael 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 Michael Hayes accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael 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 Michael Hayes affiliated with any hospitals?

According to CMS data, Michael Hayes is affiliated with Mary Hitchcock Memorial Hospital, Northeastern Vermont Regional Hospital, North Country Hospital And Health Center and Copley Hospital.

When was this NPI record last updated?

The NPPES record for Michael Hayes was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.