DR. RUSSELL A HAYHURST M.D.
NPI 1609861897
Ophthalmology in Austin, TX

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
99.8/100
CMS Quality Rating
901 W 38TH ST, STE 303, AUSTIN, TX 78705(512) 452-8467(512) 452-8440 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Russell A Hayhurst M.d. NPPES

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

DR. RUSSELL A HAYHURST M.D. (NPI 1609861897) is an individual ophthalmology provider in Austin, Texas, licensed in Texas (H9216) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1609861897
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RUSSELL A HAYHURSTCredential: M.D.
Location Address901 W 38TH ST, STE 303Austin, TX 78705-1163
Mailing Address901 W 38th St, Ste 303Austin, TX 78705-1163 · (512) 452-8467 · Fax (512) 452-8440
Fax(512) 452-8440
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 14, 2005
Last NPPES UpdateApril 17, 2017
NPI 1609861897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · H9216
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License H9216 (TX)
901 W 38TH ST, Austin, TX 78705

Other Identifiers 7

Medicare PIN8A0474TX
Other3471181TX · Cigna
Other180046326TX · Railroad Medicare
Medicare UPINF82373TX
Medicaid154994101TX
Other8AB070TX · Bcbs
Other4494050TX · Aetna

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. Russell A Hayhurst 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 ID5890767099
PECOS Enrollment IDI20120502000408
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 17

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
858 services549 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
453 services439 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
449 services443 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
444 services439 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
400 services399 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
277 services187 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

99.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.6
Improvement Activities40

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.

Obstetrics & Gynecology (Gynecologic Oncology)
901 W 38TH ST, SUITE 300
AUSTIN, TX 78705
Plastic Surgery
901 W 38TH ST, SUITE 401
AUSTIN, TX 78705
Plastic Surgery
901 W 38TH ST, SUITE 401
AUSTIN, TX 78705
Oral & Maxillofacial Surgery
901 W 38TH ST, SUITE 410
AUSTIN, TX 78705
Internal Medicine (Medical Oncology)
901 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Physician Assistant
901 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Pharmacy (Community/Retail Pharmacy)
901 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Clinical Nurse Specialist
901 W 38TH ST, SUITE 403
AUSTIN, TX 78705

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 Russell Hayhurst's NPI number?

The NPI number for Russell Hayhurst is 1609861897. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Russell Hayhurst located?

Russell Hayhurst practices at 901 W 38th St Ste 303, Austin, TX 78705. The listed phone number is (512) 452-8467.

What is Russell Hayhurst's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Russell Hayhurst enrolled in Medicare?

Yes. Russell Hayhurst 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 Russell Hayhurst accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Russell Hayhurst 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.

When was this NPI record last updated?

The NPPES record for Russell Hayhurst was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.