MITCHELL DALTON HAYNES OD
NPI 1629966023
Optometrist in Pikeville, KY
About Mitchell Dalton Haynes Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL DALTON HAYNES OD (NPI 1629966023) is an individual optometrist in Pikeville, Kentucky, licensed in Kentucky (2434DT) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Mitchell Dalton Haynes Od 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mitchell Haynes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 32 clinicians in this Medicare group
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 579 clinicians in this Medicare group
Ooltewah, TN 37363
- Reassigned Medicare billing, Tennessee enrollment
- 7 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pikeville Medical Center
Acute Care Hospitals · Pikeville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
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 Mitchell Haynes's NPI number?
The NPI number for Mitchell Haynes is 1629966023. It was assigned to this individual provider in the NPPES registry on June 25, 2025.
Where is Mitchell Haynes located?
Mitchell Haynes practices at 147 Sycamore St, Pikeville, KY 41501. The listed phone number is (606) 262-3055.
What is Mitchell Haynes's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mitchell Haynes enrolled in Medicare?
Yes. Mitchell Haynes 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 Mitchell Haynes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Haynes reassigns Medicare benefits to 3 organizations: University Of Pikeville (Pikeville, KY), Pikeville Medical Center Inc. (Pikeville, KY) and Star Optometry Tn, PC (Ooltewah, TN). 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 Mitchell Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitchell Haynes accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Oscar Insurance Company and 1 other insurer list Mitchell Haynes 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 Mitchell Haynes affiliated with any hospitals?
According to CMS data, Mitchell Haynes is affiliated with Pikeville Medical Center.
When was this NPI record last updated?
The NPPES record for Mitchell Haynes was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mitchell Dalton Haynes, OD · NPI 1629966023
Optometrist provider in Pikeville, Kentucky. Individual provider, active in the CMS NPPES registry since June 25, 2025.
## Identity
- **NPI:** 1629966023 (Entity type: Individual)
- **Enumerated:** June 25, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2434DT (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 147 SYCAMORE ST, Pikeville, KY 41501-9118
- **Phone:** (606) 262-3055
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Pikeville (NPI 1841657947, Pikeville, KY); Pikeville Medical Center Inc. (NPI 1528195864, Pikeville, KY); Star Optometry Tn, PC (NPI 1336922764, Ooltewah, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629966023) · Data from the CMS NPPES public registry.