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

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: October 18, 2026.

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

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 Cole, 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
Open in Google Maps ↗

Other Identifiers 1

Medicaid1029830960001PA

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. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Andrew Kayes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charles Cole Memorial Hospital
Same address
Critical Access
1001 E 2ND ST
Coudersport, PA 16915
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1093182511 (Pennsylvania)
  • 54 clinicians in this Medicare group
NPI 1326161662 (814) 274-9300
Susquehanna Physician Services
62 mi
Emergency Medicine
700 HIGH ST
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
NPI 1992359798 (570) 321-2125
Regional Health Services Inc
111 mi
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140
Apogee Medical Group Of Pennsylvania PC
1,929 mi
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 383 clinicians in this Medicare group
NPI 1568633535 (972) 269-1907

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 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

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

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
Quality83.18
Promoting Interoperability100
Improvement Activities40
Cost70.12

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)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-7761
BETH PANTUSO PHDH
Dental Hygienist
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9198
CHARLES COLE MEMORIAL HOSPITAL PATHOLOGY
Pathology (Clinical Pathology/Laboratory Medicine)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
TAREK QUTOB MD
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9024
MANDY COLLINS SILLICK PA-C
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 260-5471
MRS. MANDY MARIE SPENCER PAC
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
JENNIFER DAVIS RD, LDN
Dietitian, Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
MRS. ASHLEY LYNN BOOTERBAUGH MA CF-SLP
Speech-Language Pathologist
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-5300

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 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.

Where is Andrew Kayes located?

Andrew Kayes practices at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 274-9300.

What is Andrew Kayes's specialty?

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

Is Andrew Kayes enrolled in Medicare?

Yes. Andrew Kayes 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 Andrew Kayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kayes reassigns Medicare benefits to 4 organizations: Charles Cole Memorial Hospital (Coudersport, PA), Susquehanna Physician Services (Williamsport, PA), Regional Health Services Inc (Erie, PA) and Apogee Medical Group Of Pennsylvania PC (Scottsdale, AZ). 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 Andrew Kayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Kayes affiliated with any hospitals?

According to CMS data, Andrew Kayes is affiliated with Upmc Cole.

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 10 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.