MARK ALAN HAIMES M.D.
NPI 1659734861
Orthopaedic Surgery in South Burlington, VT

Q: What is Mark Haimes's NPI number?

The NPI number for Mark Haimes is 1659734861. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Mark Haimes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Haimes was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment

192 TILLEY DR, SOUTH BURLINGTON, VT 05403(802) 847-4690 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 8, 2022, Jul 21, 2021 (2 updates tracked since 2021).

On this page

About Mark Alan Haimes M.d. NPPES

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

MARK ALAN HAIMES M.D. (NPI 1659734861) is an individual orthopaedic surgery provider in South Burlington, Vermont, licensed in Vermont (042-0015756) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Elizabethtown Community Hospital, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1659734861

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK ALAN HAIMESCredential: M.D.

Location Address192 TILLEY DRSouth Burlington, VT 05403-4440

Mailing Address1224 Windermere DrPittsburgh, PA 15218-1146 · (954) 304-4144

Phone(802) 847-4690

Sole ProprietorYes

Medical School CMSFlorida International Univ, College Of MedicineGraduated 2016

Enumeration DateApril 4, 2016

Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2022

✔ NPI 1659734861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in VT · 042-0015756

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License MD472775 (PA)

192 TILLEY DR, South Burlington, VT 05403

Open in Google Maps ↗

Secondary Practice Location 1

Location 15200 Centre Ave Ste 415Pittsburgh, PA 15232-1311 · Phone (412) 802-4100

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mark Alan Haimes 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 ID1456646918

PECOS Enrollment IDI20220930000575

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 11

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.

178 services141 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

106 services91 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.

77 services67 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

57 services42 patients

Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T

This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.

47 services46 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

44 services43 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

39 services37 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331302

Location75 Park StreetElizabethtown, NY 12932 · Essex County

Emergency services Birthing friendly

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470001

LocationBox 547Barre, VT 05641 · Washington County

Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470024

Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County

Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471307

Location115 Porter DriveMiddlebury, VT 05753 · Addison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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.

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.

MS. BRENDA CURRIER HILFRANK PT

Physical Therapist (Hand)

192 TILLEY DR
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-7910

MR. ANTONIO LORA III MS,ATC, PES

Specialist/Technologist (Athletic Trainer)

192 TILLEY DR, MAIL STOP 4380 C1
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-7001

MR. GRIGORIOS DELAPORTAS P.A.

Physician Assistant

192 TILLEY DR
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-7063

MR. ROBERT E HEMOND PA-C

Physician Assistant (Surgical)

192 TILLEY DR
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-9005

JENNIFER MAY ELSINGER OTR/L, CHT

Occupational Therapist (Hand)

192 TILLEY DR, ORTHOPEDIC SPECIALTY CENTER
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-7910

DAVID LISLE M.D.

Family Medicine (Sports Medicine)

192 TILLEY DR, ORTHOPAEDIC SPECIALTY CENTER
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-2663

LUCIA G RYAN P.T.

Physical Therapist

192 TILLEY DR
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-7910

DR. ADAM MATTHEW KATCHKY MD

Orthopaedic Surgery

192 TILLEY DR
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-0000

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 Mark Haimes's NPI number?

The NPI number for Mark Haimes is 1659734861. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Mark Haimes located?

Mark Haimes practices at 192 Tilley Dr, South Burlington, VT 05403. The listed phone number is (802) 847-4690.

What is Mark Haimes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Haimes enrolled in Medicare?

Yes. Mark Haimes 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 Mark Haimes accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Haimes 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 Mark Haimes affiliated with any hospitals?

According to CMS data, Mark Haimes is affiliated with Elizabethtown Community Hospital, Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mark Haimes was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.