DR. HAYS L. ARNOLD III M.D.
NPI 1699765461
Internal Medicine - Gastroenterology in Live Oak, TX

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
12850 TOEPPERWEIN RD, LIVE OAK, TX 78233(210) 614-1234(210) 614-0952 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, Mar 17, 2018, Feb 15, 2018 (3 updates tracked since 2018).

About Dr. Hays L. Arnold Iii M.d. NPPES

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

DR. HAYS L. ARNOLD III M.D. (NPI 1699765461) is an individual gastroenterology provider in Live Oak, Texas, licensed in Texas (N4258) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699765461
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HAYS L. ARNOLD IIICredential: M.D.
Location Address12850 TOEPPERWEIN RDLive Oak, TX 78233-4115
Mailing Address8415 Datapoint Dr Ste 700San Antonio, TX 78229-3327 · (210) 614-1234 · Fax (210) 614-0952
Fax(210) 614-0952
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1999
Enumeration DateOctober 24, 2005
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
NPI 1699765461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · N4258
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
12850 TOEPPERWEIN RD, Live Oak, TX 78233

Secondary Practice Locations 3

Location 1855 Proton RdSan Antonio, TX 78258-4203 · Phone (210) 614-1234 · Fax (210) 614-0952
Location 25223 Hamilton Wolfe RdSan Antonio, TX 78229-4463 · Phone (210) 614-1234 · Fax (210) 614-0952
Location 312850 Toepperwein RdLive Oak, TX 78233-4115 · Phone (210) 614-1234 · Fax (210) 614-7749

Other Identifiers 2

Other8B5203TX · Blue Cross Blue Shield
Medicaid212730002TX

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

Dr. Hays L. Arnold Iii 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 ID6103957360
PECOS Enrollment IDI20100701000675
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 16

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.

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.
325 services323 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.
193 services157 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
175 services171 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.
152 services134 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.
135 services135 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.
59 services59 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Reported Quality Measures

Photodocumentation of Cecal Intubation
The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination
100%288 patients
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 claims 7

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers21 claims582 services$4.65 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier20 claims7,910 services$0.27 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier27 claims490 services$10.94 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
1 supplier22 claims134 services$220.23 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier29 claims185 services$7.98 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier29 claims185 services$24.93 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 12

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

Physician Assistant
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233
Nurse Anesthetist, Certified Registered
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233
Internal Medicine (Gastroenterology)
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233
Internal Medicine (Gastroenterology)
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233
Physician Assistant
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233
Physician Assistant
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233
Internal Medicine (Gastroenterology)
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233
Nurse Practitioner
12850 TOEPPERWEIN RD
LIVE OAK, TX 78233

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 Hays Arnold's NPI number?

The NPI number for Hays Arnold is 1699765461. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Hays Arnold located?

Hays Arnold practices at 12850 Toepperwein Rd, Live Oak, TX 78233. The listed phone number is (210) 614-1234.

What is Hays Arnold's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hays Arnold enrolled in Medicare?

Yes. Hays Arnold 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 Hays Arnold accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Hays Arnold 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 Hays Arnold affiliated with any hospitals?

According to CMS data, Hays Arnold is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Hays Arnold was last updated on November 15, 2021. 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.