WILLIAM LEE HAYNES M.D.
NPI 1528040128
Ophthalmology in Asheville, NC

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
8 MEDICAL PARK DR, ASHEVILLE, NC 28803(828) 258-1586(828) 258-6161 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Lee Haynes M.d. NPPES

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

WILLIAM LEE HAYNES M.D. (NPI 1528040128) is an individual ophthalmology provider in Asheville, North Carolina, licensed in North Carolina (33061) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1987).

NPPES Registry Identity

NPI1528040128
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameWILLIAM LEE HAYNESCredential: M.D.
Location Address8 MEDICAL PARK DRAsheville, NC 28803-2493
Mailing Address8 Medical Park DrAsheville, NC 28803-2493 · (828) 258-1586 · Fax (828) 258-6161
Fax(828) 258-6161
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1987
Enumeration DateNovember 18, 2005
Last NPPES UpdateMarch 19, 2008
NPI 1528040128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 33061
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
8 MEDICAL PARK DR, Asheville, NC 28803

Other Identifiers 7

Other180041340NC · Palmetto Gba
Medicare NSC0224210001NC
Other40749NC · Bcbs Of Nc
Medicare ID-Type Unspecified2184867ANC
Medicare UPINF10168NC
Medicaid8940749NC
Other0870009NC · United Healthcare

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

William Lee 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 ID3870581101
PECOS Enrollment IDI20100224000308
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 20

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,304 services1,226 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
787 services685 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.
747 services575 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
741 services708 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
597 services487 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.
307 services273 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers30 claims30 services$57.17 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims25 services$43.09 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier24 claims33 services$51.20 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 19

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

Ophthalmology
8 MEDICAL PARK DR
ASHEVILLE, NC 28803
Ophthalmology
8 MEDICAL PARK DR
ASHEVILLE, NC 28803
Ophthalmology
8 MEDICAL PARK DR
ASHEVILLE, NC 28803
Optometrist
8 MEDICAL PARK DR
ASHEVILLE, NC 28803
Ophthalmology
8 MEDICAL PARK DR
ASHEVILLE, NC 28803
Ophthalmology
8 MEDICAL PARK DR
ASHEVILLE, NC 28803
Ophthalmology
8 MEDICAL PARK DR
ASHEVILLE, NC 28803
Ophthalmology
8 MEDICAL PARK DR
ASHEVILLE, NC 28803

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 William Haynes's NPI number?

The NPI number for William Haynes is 1528040128. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is William Haynes located?

William Haynes practices at 8 Medical Park Dr, Asheville, NC 28803. The listed phone number is (828) 258-1586.

What is William Haynes's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is William Haynes enrolled in Medicare?

Yes. William 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.

What insurance does William Haynes accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and Providence Health Plan and 1 other insurer list William 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.

When was this NPI record last updated?

The NPPES record for William Haynes was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.