DR. PAUL JOEL HAYWARD DO
NPI 1598907867
General Practice in Kailua Kona, HI

Active since April 01, 2009PECOS EnrolledAccepts Medicare Assignment
78-6957 KAMEHAMEHA III RD, KAILUA KONA, HI 96740(808) 322-2790 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2022, Feb 26, 2021, Aug 20, 2020 (3 updates tracked since 2020).

About Dr. Paul Joel Hayward Do NPPES

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

DR. PAUL JOEL HAYWARD DO (NPI 1598907867) is an individual general practice provider in Kailua Kona, Hawaii, licensed in Hawaii (1457) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1598907867
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PAUL JOEL HAYWARDCredential: DO
Location Address78-6957 KAMEHAMEHA III RDKailua Kona, HI 96740-2528
Mailing AddressPo Box 2153 Dept 40339Birmingham, AL 35287-0001 · (706) 271-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 1, 2009
Last NPPES UpdateDecember 28, 20223 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
NPI 1598907867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in HI · 1457
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedHospitalistTaxonomy 208M00000X · License DOS1457 (HI)
78-6957 KAMEHAMEHA III RD, Kailua Kona, HI 96740

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

Dr. Paul Joel Hayward Do 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 ID1355591991
PECOS Enrollment IDI20121017000437
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 7

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
540 services83 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
353 services66 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
65 services35 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
49 services46 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
37 services36 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Kona Community Hospital

Acute Care Hospitals · Kealakekua, HI
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120019
Location79-1019 Haukapila StreetKealakekua, HI 96750 · Hawaii County
Emergency services Birthing friendly

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%107 patients4/55-star benchmark: 100%
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.

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.

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
1 supplier12 claims12 services$113.38 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$38.25 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 15

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

Occupational Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Occupational Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Physical Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Clinic/Center (Physical Therapy)
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Speech-Language Pathologist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Specialist/Technologist (Speech-Language Assistant)
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Physical Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Occupational Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740

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 Paul Hayward's NPI number?

The NPI number for Paul Hayward is 1598907867. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Paul Hayward located?

Paul Hayward practices at 78-6957 Kamehameha III Rd, Kailua Kona, HI 96740. The listed phone number is (808) 322-2790.

What is Paul Hayward's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Paul Hayward enrolled in Medicare?

Yes. Paul Hayward 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 Paul Hayward accept?

Health plans from HMSA list Paul Hayward 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 Paul Hayward affiliated with any hospitals?

According to CMS data, Paul Hayward is affiliated with Kona Community Hospital.

When was this NPI record last updated?

The NPPES record for Paul Hayward was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.