DR. DOUGLAS SCOTT HAYES M.D.
NPI 1598793028
Radiology - Diagnostic Radiology in Athens, TN

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1114 W MADISON AVE, ATHENS, TN 37303(423) 744-3256 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Scott Hayes M.d. NPPES

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

DR. DOUGLAS SCOTT HAYES M.D. (NPI 1598793028) is an individual diagnostic radiology provider in Athens, Tennessee, licensed in Tennessee (0000036154) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1598793028
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DOUGLAS SCOTT HAYESCredential: M.D.
Location Address1114 W MADISON AVEAthens, TN 37303-4150
Mailing Address2001 Laurel Ave # N304Knoxville, TN 37916-1810 · (865) 766-6870
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1997
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
NPI 1598793028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TN · 0000036154
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1114 W MADISON AVE, Athens, TN 37303

Secondary Practice Location 1

Location 12001 Laurel Ave # N304Knoxville, TN 37916-1810 · Phone (865) 766-6870

Other Identifiers 2

Other4121575TN · Blue Cross Blue Shield
Other62-1135664TN · Tid

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. Douglas Scott Hayes 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 ID7911975214
PECOS Enrollment IDI20040923001151
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 81

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
996 services688 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
498 services439 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
456 services456 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
396 services361 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
371 services371 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
332 services332 patients

Hospital Affiliations CMS Care Compare 2

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37303 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
10%31 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%669 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
93%255 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%56 patients
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 19

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

Nurse Anesthetist, Certified Registered
1114 W MADISON AVE
ATHENS, TN 37303
Nurse Anesthetist, Certified Registered
1114 W MADISON AVE
ATHENS, TN 37303
Nurse Anesthetist, Certified Registered
1114 W MADISON AVE
ATHENS, TN 37303
Anesthesiology
1114 W MADISON AVE
ATHENS, TN 37303
Physician Assistant
1114 W MADISON AVE
ATHENS, TN 37303
Radiology (Diagnostic Radiology)
1114 W MADISON AVE
ATHENS, TN 37303
Emergency Medicine
1114 W MADISON AVE
ATHENS, TN 37303
Radiology (Diagnostic Radiology)
1114 W MADISON AVE
ATHENS, TN 37303

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 Douglas Hayes's NPI number?

The NPI number for Douglas Hayes is 1598793028. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Douglas Hayes located?

Douglas Hayes practices at 1114 W Madison Ave, Athens, TN 37303. The listed phone number is (423) 744-3256.

What is Douglas Hayes's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Hayes enrolled in Medicare?

Yes. Douglas 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.

Is Douglas Hayes affiliated with any hospitals?

According to CMS data, Douglas Hayes is affiliated with Starr Regional Medical Center Athens and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Douglas Hayes was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.