DR. PAUL KENDEL HAYNES M.D.
NPI 1386643211
Internal Medicine - Gastroenterology in Indianapolis, IN

Q: What is Paul Haynes's NPI number?

The NPI number for Paul Haynes is 1386643211. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Paul Haynes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Paul Haynes was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment

89.45/100

CMS Quality Rating

8051 SOUTH EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237(317) 865-2955(317) 865-2944 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Paul Kendel Haynes M.d. NPPES

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

DR. PAUL KENDEL HAYNES M.D. (NPI 1386643211) is an individual gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01055604A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Mooresville, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1999).

NPPES Registry Identity

NPI1386643211

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. PAUL KENDEL HAYNESCredential: M.D.

Location Address8051 SOUTH EMERSON AVE, SUITE 200Indianapolis, IN 46237-8632

Mailing Address8051 South Emerson Ave, Suite 200Indianapolis, IN 46237-8632 · (317) 865-2955 · Fax (317) 865-2944

Phone(317) 865-2955

Fax(317) 865-2944

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1999

Enumeration DateJuly 21, 2005

Last NPPES UpdateMarch 9, 2020

NPPES CertifiedMarch 9, 2020

✔ NPI 1386643211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IN · 01055604A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

8051 SOUTH EMERSON AVE, Indianapolis, IN 46237

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Other Identifiers 1

Medicaid200510740IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Paul Kendel Haynes 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 ID1850346677

PECOS Enrollment IDI20050315000386

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 14

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.

142 services128 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

99 services99 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

69 services67 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.

64 services64 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

42 services42 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

33 services33 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

27 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 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.

21 services21 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.

20 services20 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

18 services15 patients

Monitoring and recording of esophageal function through nasal tube 91034

This procedure involves the insertion of a thin tube through the nose and into the esophagus. It helps monitor and record esophageal function, including how well food and liquids move through it. It's a safe and effective way to detect potential issues.

12 services12 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.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150057

Location1201 Hadley RdMooresville, IN 46158 · Morgan County

Emergency services Birthing friendly

Major Hospital

Acute Care Hospitals · Shelbyville, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150097

Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County

Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150128

Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County

Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Decatur County Memorial Hospital

Critical Access Hospitals · Greensburg, IN

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number151332

Location720 N Lincoln StGreensburg, IN 47240 · Decatur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

89.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.9

Promoting Interoperability

Improvement Activities

Cost

78.78

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers22 claims9,735 services$0.32 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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEMANT SABHARWAL MDPC

Surgery (Plastic and Reconstructive Surgery)

8051 SOUTH EMERSON AVE, SUITE 480
INDIANAPOLIS, IN 46237

Marion County (317) 865-8933

DR. MICHAEL FRANCIS ELMORE M.D.