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KATHERINE A HAYNES M.D.
NPI 1447368717
Obstetrics & Gynecology in Waco, TX

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
601 W STATE HIGHWAY 6, STE 101, WACO, TX 76710(254) 772-5454(254) 772-6464 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine A Haynes M.d. NPPES

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

KATHERINE A HAYNES M.D. (NPI 1447368717) is an individual obstetrics & gynecology provider in Waco, Texas, licensed in Texas (M1749) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Arkansas College Of Medicine (1999).

NPPES Registry Identity

NPI1447368717
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHERINE A HAYNESCredential: M.D.
Location Address601 W STATE HIGHWAY 6, STE 101Waco, TX 76710-5591
Mailing AddressPo Box 18962Belfast, ME 04915-4084 · (800) 566-5050 · Fax (254) 772-6464
Phone(254) 772-5454
Fax(254) 772-6464
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1999
Enumeration DateAugust 28, 2006
Last NPPES UpdateJanuary 30, 2017
✔ NPI 1447368717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M1749
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
601 W STATE HIGHWAY 6, Waco, TX 76710
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified8F1293TX
Medicare UPIN143553TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Katherine A 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 ID9234155045
PECOS Enrollment IDI20051020000975
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 Katherine Haynes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health Alliance
6.8 mi
Specialist
6901 MEDICAL PKWY
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 176 clinicians in this Medicare group
NPI 1932210838 (254) 751-4061

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 5

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
57 services57 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.
42 services38 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.
42 services39 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
12 services12 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76710 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Advance Care Plan
47%153 patients2/55-star benchmark: 100%
Breast Cancer Screening
89%448 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%696 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
43%304 patients
Closing the Referral Loop: Receipt of Specialist Report
24%149 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
90%604 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
69%222 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
22%94 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
46%94 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,759 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
35%181 patients2/55-star benchmark: 100%
HIV Screening
22%1,106 patients2/55-star benchmark: 60%
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
5%62 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%1,305 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
23%1,044 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%1,363 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 58% · 1,106 patients
Patients screened: 60% · 1,106 patients
46%41 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 22% · 923 patients
Patients screened: 25% · 923 patients
0%36 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
44%131 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
64%156 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 192 patients
Patients totalRate: 10% · 195 patients
10%195 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

MICHELLE T MANNING MD
Obstetrics & Gynecology
601 W STATE HIGHWAY 6, SUITE 101
WACO, TX 76710
McLennan County (254) 772-5454
JOSEPH E KNIPPER MD
Dermatology
601 W STATE HIGHWAY 6, SUITE 103
WACO, TX 76710
McLennan County (254) 751-9040
LANEE TEER
Physical Therapist
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710
McLennan County (254) 741-6113
STEPHEN CHAKMAKJIAN MD
Pediatrics
601 W STATE HIGHWAY 6, SUITE 102
WACO, TX 76710
McLennan County (254) 399-8364
JEFFREY S SANDERS MD
Urology
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710
McLennan County (254) 741-6113
TIMOTHY MARC BARRETT M.D.
Specialist
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710
McLennan County (254) 741-6113
MARK W STORY MD
Urology
601 W STATE HIGHWAY 6, SUITE 105
WACO, TX 76710
McLennan County (254) 741-6113
DONALD A STEWART MD
Specialist
601 W STATE HIGHWAY 6, STE 105
WACO, TX 76710
McLennan County (254) 741-6113

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 Katherine Haynes's NPI number?

The NPI number for Katherine Haynes is 1447368717. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Katherine Haynes located?

Katherine Haynes practices at 601 W State Highway 6 Ste 101, Waco, TX 76710. The listed phone number is (254) 772-5454.

What is Katherine Haynes's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Haynes enrolled in Medicare?

Yes. Katherine Haynes 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 Katherine Haynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Haynes reassigns Medicare benefits to Providence Health Alliance (Waco, TX). 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 Katherine Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Haynes accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Katherine Haynes 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 Katherine Haynes affiliated with any hospitals?

According to CMS data, Katherine Haynes is affiliated with Ascension Providence and Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for Katherine Haynes was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.