DR. EARLE W HAYES DO
NPI 1609080027
Internal Medicine - Critical Care Medicine in Ny, NY

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
1ST AVE 16TH STREET, 12 BAIRD HALL, NY, NY 10003(212) 420-2377 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Earle W Hayes Do NPPES

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

DR. EARLE W HAYES DO (NPI 1609080027) is an individual critical care medicine provider in Ny, New York, licensed in New York (230591) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Blake Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (2002).

NPPES Registry Identity

NPI1609080027
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. EARLE W HAYESCredential: DO
Location Address1ST AVE 16TH STREET, 12 BAIRD HALLNy, NY 10003-3354
Mailing AddressP.o Box 95000-2433Pa, PA 19195-3354 · (212) 420-2377
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2002
Enumeration DateMay 9, 2007
Last NPPES UpdateJune 19, 2013
✔ NPI 1609080027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in NY · 230591✔ Licensed in FL · OS9590
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 230591 (NY)
1ST AVE 16TH STREET, Ny, NY 10003

Accepted Insurance

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. Earle W Hayes 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 ID6002991882
PECOS Enrollment IDI20150928001814, I20200722002714
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

11

Medicare enrollment records show Earle Hayes reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
500 7TH AVE FL 8
New York, NY 10018
  • Reassigned Medicare billing, New York enrollment
  • 345 clinicians in this Medicare group
Critical Care Medicine
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 84 clinicians in this Medicare group
Critical Care Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 89 clinicians in this Medicare group
Internal Medicine
60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 300 clinicians in this Medicare group
Critical Care Medicine
809 UNIVERSITY BLVD E
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 45 clinicians in this Medicare group
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
Critical Care Medicine
2901 W SWANN AVE
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
Specialist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 287 clinicians in this Medicare group
Internal Medicine
5200 NE 2ND AVE, FL 3
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
118 services85 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.
31 services29 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100213
Location2020 59th St WBradenton, FL 34209 · Manatee County
Emergency services

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100243
Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Surgical)
1ST AVE 16TH STREET
NEW YORK, NY 10003
Specialist
1ST AVE 16TH STREET
NEW YORK, NY 10003

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 Earle Hayes's NPI number?

The NPI number for Earle Hayes is 1609080027. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Earle Hayes located?

Earle Hayes practices at 1st Ave 16th Street 12 Baird Hall, Ny, NY 10003. The listed phone number is (212) 420-2377.

What is Earle Hayes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Earle Hayes enrolled in Medicare?

Yes. Earle 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.

Which organizations bill Medicare for Earle Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Earle Hayes reassigns Medicare benefits to 11 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Critical Care Physicians Of Pennsylvania PC (Darby, PA), Sound Physicians Intensivists Of Georgia PC (Macon, GA), Sound Physicians Of Florida IV, LLC (Palm Coast, FL), Cogent Healthcare Of Decatur, LLC (Tuscaloosa, AL) and 6 more organizations, listed in the Medicare section above. 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 Earle Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Earle Hayes accept?

Health plans from Oscar Health Maintenance Organization of Florida list Earle Hayes 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 Earle Hayes affiliated with any hospitals?

According to CMS data, Earle Hayes is affiliated with Hca Florida Blake Hospital and Hca Florida Brandon Hospital.

When was this NPI record last updated?

The NPPES record for Earle Hayes was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.