DR. TODD HAYES D.O.
NPI 1770604233
Psychiatry & Neurology - Neurology in Cincinnati, OH

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4805 MONTGOMERY RD STE 210, CINCINNATI, OH 45212(513) 241-2370(513) 241-6053 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, Mar 7, 2023, Mar 1, 2016 (3 updates tracked since 2016).

About Dr. Todd Hayes D.o. NPPES

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

DR. TODD HAYES D.O. (NPI 1770604233) is an individual neurology provider in Cincinnati, Ohio, licensed in Ohio (34.012065) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1770604233
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. TODD HAYESCredential: D.O.
Location Address4805 MONTGOMERY RD STE 210Cincinnati, OH 45212-2280
Mailing Address4805 Montgomery Rd, Suite 150Cincinnati, OH 45212-2198 · (513) 961-5558 · Fax (513) 961-1912
Fax(513) 241-6053
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1770604233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in OH · 34.012065 Licensed in KY · 04017
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 04017 (KY), 34.012065 (OH)
4805 MONTGOMERY RD STE 210, Cincinnati, OH 45212

Secondary Practice Location 1

Location 17661 Beechmont Ave Ste 130Cincinnati, OH 45255-4234 · Phone (513) 624-6031

Other Identifiers 3

Medicaid0159637OH
Medicaid7100466360KY
Medicaid300026874IN

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. Todd Hayes D.o. 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 ID5991898504
PECOS Enrollment IDI20160324001020, I20161214002693
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 20

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.

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.
262 services137 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.
95 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services68 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
73 services71 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.
70 services59 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
67 services66 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45212 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Neurological Surgery
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Nurse Practitioner
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Nurse Practitioner (Family)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Clinical Neuropsychologist
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Anesthesiology (Pain Medicine)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Psychiatry & Neurology (Neurology)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Physician Assistant (Medical)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212
Psychiatry & Neurology (Neurology)
4805 MONTGOMERY RD STE 210
CINCINNATI, OH 45212

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 Todd Hayes's NPI number?

The NPI number for Todd Hayes is 1770604233. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Todd Hayes located?

Todd Hayes practices at 4805 Montgomery Rd Ste 210, Cincinnati, OH 45212. The listed phone number is (513) 241-2370.

What is Todd Hayes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Todd Hayes enrolled in Medicare?

Yes. Todd Hayes 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 Todd Hayes accept?

Health plans from MedMutual and UnitedHealthcare list Todd Hayes 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 Todd Hayes affiliated with any hospitals?

According to CMS data, Todd Hayes is affiliated with Mercy Health-Anderson Hospital, Good Samaritan Hospital, Christ Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Todd Hayes was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.