DR. PAUL THOMAS HAYNES II M.D.
NPI 1669796868
Orthopaedic Surgery in Ocean, NJ

Active since March 17, 2010PECOS EnrolledAccepts Medicare Assignment
66.38/100
CMS Quality Rating
1200 EAGLE AVE, OCEAN, NJ 07712(732) 660-6200(732) 660-6201 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2016, Jun 29, 2016 (2 updates tracked since 2016).

About Dr. Paul Thomas Haynes Ii M.d. NPPES

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

DR. PAUL THOMAS HAYNES II M.D. (NPI 1669796868) is an individual orthopaedic surgery provider in Ocean, New Jersey, licensed in New Jersey (25MA08955600) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Rutgers New Jersey Medical School (2003).

NPPES Registry Identity

NPI1669796868
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL THOMAS HAYNES IICredential: M.D.
Location Address1200 EAGLE AVEOcean, NJ 07712-7631
Mailing Address1200 Eagle AveOcean, NJ 07712-7631 · (732) 660-6200 · Fax (732) 660-6201
Fax(732) 660-6201
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2003
Enumeration DateMarch 17, 2010
Last NPPES UpdateJuly 15, 20162 updates tracked since enumeration
NPI 1669796868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NJ · 25MA08955600
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.
1200 EAGLE AVE, Ocean, NJ 07712

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 Haynes Ii 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 ID3577687110
PECOS Enrollment IDI20110902000508
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.

Hospital Affiliations CMS Care Compare

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07712 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

66.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality42.51
Promoting Interoperability92
Improvement Activities40
Cost52.09

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Dynamic adjustable elbow extension/flexion device, includes soft interface material E1800
DME-Other DME · category DE000N
1 supplier12 claims12 services$81.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Surgical)
1200 EAGLE AVE
OCEAN, NJ 07712
Physical Therapist (Orthopedic)
1200 EAGLE AVE
OCEAN, NJ 07712
Physician Assistant
1200 EAGLE AVE
OCEAN, NJ 07712
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1200 EAGLE AVE
OCEAN, NJ 07712
Physical Therapist
1200 EAGLE AVE
OCEAN, NJ 07712
Specialist
1200 EAGLE AVE, SUITE 100
OCEAN, NJ 07712
Massage Therapist
1200 EAGLE AVE
OCEAN, NJ 07712
Physical Therapist
1200 EAGLE AVE
OCEAN, NJ 07712

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 Paul Haynes's NPI number?

The NPI number for Paul Haynes is 1669796868. It was assigned to this individual provider in the NPPES registry on March 17, 2010.

Where is Paul Haynes located?

Paul Haynes practices at 1200 Eagle Ave, Ocean, NJ 07712. The listed phone number is (732) 660-6200.

What is Paul Haynes's specialty?

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

Is Paul Haynes enrolled in Medicare?

Yes. Paul 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.

Is Paul Haynes affiliated with any hospitals?

According to CMS data, Paul Haynes is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Haynes was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.