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JAMES DALTON HAYES II MD
NPI 1730161621
Otolaryngology in Wilkes Barre, PA

Active since November 16, 2005PECOS Enrolled
675 BALTIMORE DR, WILKES BARRE, PA 18702(570) 808-7923 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2020, Jun 15, 2016 (2 updates tracked since 2016).

About James Dalton Hayes Ii Md NPPES

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

JAMES DALTON HAYES II MD (NPI 1730161621) is an individual otolaryngology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD037531E) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730161621
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJAMES DALTON HAYES IICredential: MD
Location Address675 BALTIMORE DRWilkes Barre, PA 18702-7900
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6144
Phone(570) 808-7923
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1730161621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in PA · MD037531E✔ Licensed in NY · 168453
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
675 BALTIMORE DR, Wilkes Barre, PA 18702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Dalton Hayes Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Hayes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.5 mi
Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1316999782 (570) 826-7300
Guthrie Medical Group, P.C,
23 mi
Family Medicine
5950 SR 6 STE 101
Tunkhannock, PA 18657
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1164471652 (570) 836-4294

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

DR. KYLE BRYAN FRAZIER DDS
Dentist (Oral and Maxillofacial Surgery)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5626
MRS. KIMBERLY ANN REED PAC
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5757
MRS. CHANNING ELIZABETH BOBACK PA-C
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-1000
MS. MELISSA LAPORTE CRNP
Nurse Practitioner (Adult Health)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-1000
SABRINA KAYLA JONES O.D.
Optometrist
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5441
MS. ANDREA M. SLUCKI CRNP
Nurse Practitioner
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-1000
ALLISON LEE PASSARELLA PA-C
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5757
DR. OMAIR ALI KHAN MBBS
Internal Medicine (Rheumatology)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-6111

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 James Hayes's NPI number?

The NPI number for James Hayes is 1730161621. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is James Hayes located?

James Hayes practices at 675 Baltimore Dr, Wilkes Barre, PA 18702. The listed phone number is (570) 808-7923.

What is James Hayes's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Hayes enrolled in Medicare?

Yes. James Hayes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hayes reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Wilkes Barre, PA) and Guthrie Medical Group, P.C, (Tunkhannock, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Hayes was last updated on August 5, 2020. 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.