DR. ANDREW JAMES KAYES M.D.
NPI 1528357100
Hospitalist in Coudersport, PA

Q: What is Andrew Kayes's NPI number?

The NPI number for Andrew Kayes is 1528357100. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Q: What is Andrew Kayes's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kayes was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 04, 2011PECOS EnrolledAccepts Medicare Assignment

85.99/100

CMS Quality Rating

1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-9300 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, Nov 20, 2025, Apr 1, 2021 and 1 more (4 updates tracked since 2017).

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About Dr. Andrew James Kayes M.d. NPPES

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

DR. ANDREW JAMES KAYES M.D. (NPI 1528357100) is an individual hospitalist provider in Coudersport, Pennsylvania, licensed in Pennsylvania (MD452739) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528357100

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. ANDREW JAMES KAYESCredential: M.D.

Location Address1001 E 2ND STCoudersport, PA 16915-8161

Mailing Address1001 E 2nd StCoudersport, PA 16915-8161 · (814) 274-9300

Phone(814) 274-9300

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 4, 2011

Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1528357100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD452739

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD452739 (PA)

1001 E 2ND ST, Coudersport, PA 16915

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Other Identifiers 1

Medicaid1029830960001PA

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. Andrew James Kayes 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 ID8527289446

PECOS Enrollment IDI20141017001897

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 6

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.

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.

289 services126 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

160 services134 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.

43 services41 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

19 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services18 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.

17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390045

Location700 High StreetWilliamsport, PA 17701 · Lycoming County

Emergency services Birthing friendly

Upmc Cole

Critical Access Hospitals · Coudersport, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391313

Location1001 East Second StreetCoudersport, PA 16915 · Potter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16915 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

85.99/100

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

Scored as part of a group practice

Quality

83.18

Promoting Interoperability

100

Improvement Activities

Cost

70.12

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers29 claims30 services$20.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers31 claims32 services$119.52 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.

M.E. NURBHAI, M.D,, P.C.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)