Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PAUL THOMAS HANEY MD
NPI 1649376542
Surgery in Barbourville, KY

Q: What is Paul Haney's NPI number?

The NPI number for Paul Haney is 1649376542. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Paul Haney's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Haney was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since September 16, 2006PECOS Enrolled

87.95/100

CMS Quality Rating

80 HOSPITAL DR STE 2, BARBOURVILLE, KY 40906(606) 545-4460(606) 545-4469 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Sep 17, 2024, Sep 11, 2024 and 1 more (4 updates tracked since 2021).

On this page

About Dr. Paul Thomas Haney Md NPPES

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

DR. PAUL THOMAS HANEY MD (NPI 1649376542) is an individual surgery provider in Barbourville, Kentucky, licensed in Kentucky (C3091) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Knox County Hospital, and is a graduate of Indiana University School Of Medicine (1992).

NPPES Registry Identity

NPI1649376542

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PAUL THOMAS HANEYCredential: MD

Location Address80 HOSPITAL DR STE 2Barbourville, KY 40906-7363

Mailing Address80 Hospital Dr Ste 2Barbourville, KY 40906-7363 · (606) 545-4460 · Fax (606) 545-4469

Phone(606) 545-4460

Fax(606) 545-4469

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1992

Enumeration DateSeptember 16, 2006

Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1649376542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in KY · C3091

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

80 HOSPITAL DR STE 2, Barbourville, KY 40906

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 Thomas Haney Md 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 ID6800958364

PECOS Enrollment IDI20081218000161, I20241018002653

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 4

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 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.

14 services13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Knox County Hospital

Critical Access Hospitals · Barbourville, KY

OwnershipGovernment - Local

CMS Certification Number181328

Location80 Hospital DriveBarbourville, KY 40906 · Knox County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

87.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.04

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

MRS. JAMIE NICOLE WILDER APRN

Nurse Practitioner (Family)