HAYLEY HEBROCK D.O.
NPI 1396454195
Hospitalist in Antioch, CA
About Hayley Hebrock D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAYLEY HEBROCK D.O. (NPI 1396454195) is an individual hospitalist provider in Antioch, California, licensed in California (20A25514) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Hayley Hebrock D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Hayley Hebrock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Hayley Hebrock's NPI number?
The NPI number for Hayley Hebrock is 1396454195. It was assigned to this individual provider in the NPPES registry on November 21, 2022.
Where is Hayley Hebrock located?
Hayley Hebrock practices at 3901 Lone Tree Way, Antioch, CA 94509. The listed phone number is (925) 779-7200.
What is Hayley Hebrock's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Hayley Hebrock enrolled in Medicare?
Yes. Hayley Hebrock 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 Hayley Hebrock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Hebrock reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). 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 Hayley Hebrock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Hayley Hebrock affiliated with any hospitals?
According to CMS data, Hayley Hebrock is affiliated with Legacy Good Samaritan Medical Center.
When was this NPI record last updated?
The NPPES record for Hayley Hebrock was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.
# Hayley Hebrock, D.O. · NPI 1396454195
Hospitalist physician in Antioch, California. Individual provider, active in the CMS NPPES registry since November 21, 2022.
## Identity
- **NPI:** 1396454195 (Entity type: Individual)
- **Enumerated:** November 21, 2022
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 20A25514 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3901 LONE TREE WAY, Antioch, CA 94509-6200
- **Phone:** (925) 779-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396454195) · Data from the CMS NPPES public registry.