Official registry information on file with the National Plan and Provider Enumeration System.
MRS. REBECCA SUE HAYWORTH M.D. (NPI 1699017731) is an individual physical medicine & rehabilitation provider in Troy, Ohio, licensed in Ohio (35.127886) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
NPI1699017731
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameMRS. REBECCA SUE HAYWORTHCredential: M.D.
Location Address998 S DORSET RD STE 104Troy, OH 45373-4748
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.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
Mrs. Rebecca Sue Hayworth 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 ID8325288301
PECOS Enrollment IDI20170511001806
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 claims7
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.
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
364 services93 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.
88 services88 patients
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.
76 services67 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
60 services58 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.
58 services56 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
52 services35 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
24 services24 patients
Hospital Affiliations CMS Care Compare2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Location3130 North County Road 25ATroy, OH 45373 · Miami County
✓ Emergency services✓ Birthing friendly
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.
78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality
72.24
Promoting Interoperability
96
Improvement Activities
20
Reported Quality Measures
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
55%38 patients★★★★★3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%52 patients★★★★★3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
45%62 patients★★★★★2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
77%30 patients★★★★★4/55-star benchmark: 98%
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.
Referred Medical Equipment & Supplies CMS DME claims45
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$91.22 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$32.36 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$40.01 avg. paid by Medicare
Below knee, molded socket, shin, sach foot, endoskeletal system L5301
DME-Orthotic Devices · category DF003N
16 suppliers44 claims45 services$2,186.75 avg. paid by Medicare
Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee L5321
DME-Orthotic Devices · category DF000N
14 suppliers27 claims27 services$2,979.80 avg. paid by Medicare
Addition to lower extremity, test socket, below knee L5620
DME-Orthotic Devices · category DF003N
18 suppliers78 claims126 services$243.85 avg. paid by Medicare
Addition to lower extremity, test socket, above knee L5624
DME-Orthotic Devices · category DF000N
17 suppliers54 claims99 services$332.12 avg. paid by Medicare
Addition to lower extremity, below knee, acrylic socket L5629
DME-Orthotic Devices · category DF003N
17 suppliers73 claims75 services$259.26 avg. paid by Medicare
Addition to lower extremity, above knee or knee disarticulation, acrylic socket L5631
DME-Orthotic Devices · category DF000N
16 suppliers45 claims47 services$364.15 avg. paid by Medicare
Addition to lower extremity, below knee, total contact L5637
DME-Orthotic Devices · category DF003N
18 suppliers75 claims77 services$314.73 avg. paid by Medicare
16 suppliers45 claims47 services$1,185.69 avg. paid by Medicare
Addition to lower extremity, suction suspension, above knee or knee disarticulation socket L5652
DME-Orthotic Devices · category DF000N
9 suppliers15 claims15 services$360.21 avg. paid by Medicare
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert L5671
DME-Orthotic Devices · category DF003N
20 suppliers68 claims70 services$412.97 avg. paid by Medicare
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L5673
DME-Orthotic Devices · category DF003N
20 suppliers74 claims154 services$653.71 avg. paid by Medicare
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism L5679
DME-Orthotic Devices · category DF003N
16 suppliers61 claims119 services$536.41 avg. paid by Medicare
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each L5685
DME-Orthotic Devices · category DF003N
15 suppliers51 claims103 services$105.14 avg. paid by Medicare
Replacement, socket, below knee, molded to patient model L5700
DME-Orthotic Devices · category DF003N
14 suppliers29 claims31 services$2,554.77 avg. paid by Medicare
Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model L5701
DME-Orthotic Devices · category DF000N
9 suppliers18 claims18 services$3,167.95 avg. paid by Medicare
Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system L5781
DME-Orthotic Devices · category DF000N
8 suppliers14 claims14 services$3,111.75 avg. paid by Medicare
Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control L5828
DME-Orthotic Devices · category DF003N
13 suppliers22 claims22 services$2,456.83 avg. paid by Medicare
14 suppliers28 claims28 services$1,496.79 avg. paid by Medicare
Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability L5848
DME-Orthotic Devices · category DF003N
13 suppliers21 claims21 services$896.81 avg. paid by Medicare
Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist L5850
DME-Orthotic Devices · category DF000N
8 suppliers12 claims12 services$106.21 avg. paid by Medicare
Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type L5856
DME-Orthotic Devices · category DF003N
13 suppliers19 claims19 services$20,033.73 avg. paid by Medicare
Addition, endoskeletal system, below knee, alignable system L5910
DME-Orthotic Devices · category DF003N
17 suppliers64 claims64 services$296.72 avg. paid by Medicare
Addition, endoskeletal system, above knee or hip disarticulation, alignable system L5920
DME-Orthotic Devices · category DF000N
16 suppliers41 claims41 services$439.58 avg. paid by Medicare
Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock L5925
DME-Orthotic Devices · category DF000N
8 suppliers12 claims12 services$278.97 avg. paid by Medicare
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) L5940
DME-Orthotic Devices · category DF003N
17 suppliers70 claims72 services$408.58 avg. paid by Medicare
Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) L5950
DME-Orthotic Devices · category DF000N
16 suppliers39 claims40 services$644.00 avg. paid by Medicare
Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature L5968
DME-Orthotic Devices · category DF003N
12 suppliers21 claims21 services$3,032.16 avg. paid by Medicare
All lower extremity prostheses, foot, flexible keel L5972
DME-Orthotic Devices · category DF003N
12 suppliers26 claims27 services$329.91 avg. paid by Medicare
All lower extremity prostheses, flex-walk system or equal L5981
DME-Orthotic Devices · category DF003N
18 suppliers38 claims38 services$2,821.33 avg. paid by Medicare
All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability L5984
DME-Orthotic Devices · category DF000N
7 suppliers12 claims12 services$497.77 avg. paid by Medicare
All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) L5986
DME-Orthotic Devices · category DF000N
12 suppliers22 claims23 services$641.15 avg. paid by Medicare
Prosthetic sheath, below knee, each L8400
DME-Orthotic Devices · category DF000N
11 suppliers46 claims331 services$12.90 avg. paid by Medicare
Prosthetic sock, multiple ply, below knee, each L8420
DME-Orthotic Devices · category DF003N
18 suppliers77 claims543 services$16.94 avg. paid by Medicare
Prosthetic sock, multiple ply, above knee, each L8430
DME-Orthotic Devices · category DF000N
16 suppliers46 claims298 services$19.69 avg. paid by Medicare
Prosthetic shrinker, below knee, each L8440
DME-Orthotic Devices · category DF000N
15 suppliers42 claims79 services$37.94 avg. paid by Medicare
Prosthetic shrinker, above knee, each L8460
DME-Orthotic Devices · category DF000N
12 suppliers29 claims56 services$55.27 avg. paid by Medicare
Prosthetic sock, single ply, fitting, below knee, each L8470
DME-Orthotic Devices · category DF000N
16 suppliers68 claims398 services$5.54 avg. paid by Medicare
Prosthetic sock, single ply, fitting, above knee, each L8480
DME-Orthotic Devices · category DF000N
15 suppliers36 claims220 services$7.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
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 Rebecca Hayworth's NPI number?
The NPI number for Rebecca Hayworth is 1699017731. It was assigned to this individual provider in the NPPES registry on March 26, 2013.
Where is Rebecca Hayworth located?
Rebecca Hayworth practices at 998 S Dorset Rd Ste 104, Troy, OH 45373. The listed phone number is (937) 332-8843.
What is Rebecca Hayworth's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Rebecca Hayworth enrolled in Medicare?
Yes. Rebecca Hayworth 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 Rebecca Hayworth accept?
Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Rebecca Hayworth 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 Rebecca Hayworth affiliated with any hospitals?
According to CMS data, Rebecca Hayworth is affiliated with Miami Valley Hospital and Upper Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Rebecca Hayworth was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Rebecca Sue Hayworth, M.D. · NPI 1699017731
Physical Medicine & Rehabilitation physician in Troy, Ohio. Individual provider, active in the CMS NPPES registry since March 26, 2013.
## Identity
- **NPI:** 1699017731 (Entity type: Individual)
- **Enumerated:** March 26, 2013
- **Primary specialty:** Physical Medicine & Rehabilitation · taxonomy 208100000X
- **State license:** 35.127886 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 998 S DORSET RD STE 104, Troy, OH 45373-4748
- **Phone:** (937) 332-8843 · **Fax:** (937) 332-8982
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 11, 2019
- **Other identifiers:** Medicaid 0217837 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1699017731) · Data from the CMS NPPES public registry.