DARIN R HAIVALA M.D.
NPI 1689641342
Ophthalmology in Oklahoma City, OK

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
94.25/100
CMS Quality Rating
12318 SAINT ANDREWS DR, OKLAHOMA CITY, OK 73120(405) 752-0717(405) 752-0711 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darin R Haivala M.d. NPPES

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

DARIN R HAIVALA M.D. (NPI 1689641342) is an individual ophthalmology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (21377) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Summit Medical Center, Llc, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1998).

NPPES Registry Identity

NPI1689641342
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDARIN R HAIVALACredential: M.D.
Location Address12318 SAINT ANDREWS DROklahoma City, OK 73120-8604
Mailing Address12318 Saint Andrews DrOklahoma City, OK 73120-8604 · (405) 752-0717
Fax(405) 752-0711
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1998
Enumeration DateMarch 1, 2006
Last NPPES UpdateApril 21, 2017
NPI 1689641342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OK · 21377
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 · Retina SpecialistTaxonomy 207WX0107X · License 21377 (OK)
12318 SAINT ANDREWS DR, Oklahoma City, OK 73120

Other Identifiers 4

Medicare PIN243431502OK
Medicare PINP00169483
Medicaid100187820BOK
Medicare UPINH58855

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

Darin R Haivala 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 ID9234036898
PECOS Enrollment IDI20041110000616
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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
17,282 services55 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,907 services616 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,353 services310 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
994 services117 patients
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.
907 services453 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.
570 services429 patients

Hospital Affiliations CMS Care Compare

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

Summit Medical Center, LLC

Acute Care Hospitals · Edmond, OK
OwnershipPhysician
CMS Certification Number370225
Location1800 South Renaissance BoulevardEdmond, OK 73013 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

94.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Promoting Interoperability90
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
95%435 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
100%318 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%92 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
83%335 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,468 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%1,910 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,049 patients
Patients totalRate: 0% · 1,049 patients
0%1,049 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Ophthalmology (Retina Specialist)
12318 SAINT ANDREWS DR
OKLAHOMA CITY, OK 73120
Ophthalmology
12318 SAINT ANDREWS DR
OKLAHOMA CITY, OK 73120
Ophthalmology
12318 SAINT ANDREWS DR
OKLAHOMA CITY, OK 73120
Ophthalmology
12318 SAINT ANDREWS DR
OKLAHOMA CITY, OK 73120
Ophthalmology
12318 SAINT ANDREWS DR
OKLAHOMA CITY, OK 73120
Ophthalmology (Retina Specialist)
12318 SAINT ANDREWS DR
OKLAHOMA CITY, OK 73120
Ophthalmology
12318 SAINT ANDREWS DR
OKLAHOMA CITY, OK 73120

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 Darin Haivala's NPI number?

The NPI number for Darin Haivala is 1689641342. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Darin Haivala located?

Darin Haivala practices at 12318 Saint Andrews Dr, Oklahoma City, OK 73120. The listed phone number is (405) 752-0717.

What is Darin Haivala's specialty?

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

Is Darin Haivala enrolled in Medicare?

Yes. Darin Haivala 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 Darin Haivala accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Darin Haivala 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 Darin Haivala affiliated with any hospitals?

According to CMS data, Darin Haivala is affiliated with Summit Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Darin Haivala was last updated on April 21, 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.