DR. BURTON L HAYES MD
NPI 1497712368
Internal Medicine in Memphis, TN

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
76.51/100
CMS Quality Rating
1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 38132(901) 448-2300(901) 448-6657 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2025, Jun 18, 2021 (2 updates tracked since 2021).

About Dr. Burton L Hayes Md NPPES

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

DR. BURTON L HAYES MD (NPI 1497712368) is an individual internal medicine provider in Memphis, Tennessee, licensed in Tennessee (27536) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and maintains a secondary practice location in Germantown.

NPPES Registry Identity

NPI1497712368
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BURTON L HAYESCredential: MD
Location Address1910 NONCONNAH BLVD, SUITE 120Memphis, TN 38132-2113
Mailing Address66 N Pauline St, Suite 206Memphis, TN 38105-5105 · (901) 448-7642 · Fax (901) 448-8015
Fax(901) 448-6657
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1994
Enumeration DateApril 26, 2006
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1497712368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 27536
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.
Also ListedPediatricsTaxonomy 208000000X · License 27536 (TN)
1910 NONCONNAH BLVD, Memphis, TN 38132

Secondary Practice Location 1

Location 18040 Wolf River Blvd Ste 102Germantown, TN 38138-1773 · Phone (901) 227-7900 · Fax (901) 227-7920

Other Identifiers 1

Medicaid3831760TN

Accepted 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

Dr. Burton L Hayes Md 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 ID7517908981
PECOS Enrollment IDI20250321002660
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 Reassignments

2

Medicare enrollment records show Burton Hayes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8970 WINCHESTER RD
Memphis, TN 38125
  • Reassigned Medicare billing, Tennessee enrollment
  • 581 clinicians in this Medicare group
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 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.

Areas of Expertise CMS Part B claims 30

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.
363 services208 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
280 services187 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
176 services141 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
143 services125 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
132 services132 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
128 services128 patients

Hospital Affiliations CMS Care Compare

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38132 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

76.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Promoting Interoperability82
Improvement Activities40
Cost66.19

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims22 services$4.19 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.

Anesthesiology
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Internal Medicine
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Registered Nurse (Neonatal Intensive Care)
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Transplant Surgery
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Psychologist
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Pediatrics (Pediatric Infectious Diseases)
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Dermatology
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Dermatology
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132

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 Burton Hayes's NPI number?

The NPI number for Burton Hayes is 1497712368. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Burton Hayes located?

Burton Hayes practices at 1910 Nonconnah Blvd Suite 120, Memphis, TN 38132. The listed phone number is (901) 448-2300.

What is Burton Hayes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Burton Hayes enrolled in Medicare?

Yes. Burton 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 organizations bill Medicare for Burton Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Burton Hayes reassigns Medicare benefits to 2 organizations: Baptist Memorial Medical Group Inc (Memphis, TN) and Monument Health Rapid City Hospital, Inc. (Wall, SD). Each 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 Burton Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Burton Hayes accept?

Health plans from Oscar Insurance Company, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Burton 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 Burton Hayes affiliated with any hospitals?

According to CMS data, Burton Hayes is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Burton Hayes was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.