DR. DOUGLAS W HAYNES MD
NPI 1710954367
Family Medicine in Edmond, OK

Active since March 02, 2006Opted out of Medicare · through Mar 9, 2027
77.69/100
CMS Quality Rating
1700 RENAISSANCE BLVD, EDMOND, OK 73013(405) 844-4300(405) 844-4333 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2017, Feb 5, 2016 (2 updates tracked since 2016).

About Dr. Douglas W Haynes Md NPPES

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

DR. DOUGLAS W HAYNES MD (NPI 1710954367) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (22513) and active in the NPI registry since March 2006. He has opted out of Medicare through March 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710954367
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS W HAYNESCredential: MD
Location Address1700 RENAISSANCE BLVDEdmond, OK 73013-3022
Mailing Address5300 N Independence Ave, Ste. 280Oklahoma City, OK 73112-5556 · (405) 844-4300 · Fax (405) 844-4333
Fax(405) 844-4333
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateJuly 14, 20172 updates tracked since enumeration
NPI 1710954367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 22513
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1700 RENAISSANCE BLVD, Edmond, OK 73013

Other Identifiers 2

Medicaid100125790AOK
Medicare UPING97844

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Douglas W Haynes Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 9, 2023 through March 9, 2027.

Opt-Out Effective DateMarch 9, 2023
Opt-Out In Effect ThroughMarch 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims68 services$5.53 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers13 claims13 services$31.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$55.46 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers14 claims84 services$2.00 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers31 claims31 services$196.10 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 14

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

Pediatrics
1700 RENAISSANCE BLVD
EDMOND, OK 73013
Family Medicine
1700 RENAISSANCE BLVD
EDMOND, OK 73013
Pediatrics
1700 RENAISSANCE BLVD
EDMOND, OK 73013
Social Worker (Clinical)
1700 RENAISSANCE BLVD
EDMOND, OK 73013
Pediatrics
1700 RENAISSANCE BLVD
EDMOND, OK 73013
Family Medicine
1700 RENAISSANCE BLVD
EDMOND, OK 73013
Pediatrics
1700 RENAISSANCE BLVD
EDMOND, OK 73013
Internal Medicine
1700 RENAISSANCE BLVD
EDMOND, OK 73013

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 Douglas Haynes's NPI number?

The NPI number for Douglas Haynes is 1710954367. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Douglas Haynes located?

Douglas Haynes practices at 1700 Renaissance Blvd, Edmond, OK 73013. The listed phone number is (405) 844-4300.

What is Douglas Haynes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Haynes enrolled in Medicare?

No. Douglas Haynes has opted out of Medicare through March 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Douglas Haynes accept?

Health plans from Mending Health list Douglas Haynes 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.

When was this NPI record last updated?

The NPPES record for Douglas Haynes was last updated on July 14, 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.