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KEVIN J HAYES D.O.
NPI 1831140326
Pediatrics in Appleton, WI

Active since May 12, 2006PECOS Enrolled
W5282 AMY AVE, APPLETON, WI 54915(920) 358-1910(920) 358-1992 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Kevin J Hayes D.o. NPPES

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

KEVIN J HAYES D.O. (NPI 1831140326) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Wisconsin (49435) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1831140326
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKEVIN J HAYESCredential: D.O.
Location AddressW5282 AMY AVEAppleton, WI 54915-7233
Mailing Address122 E College AveAppleton, WI 54911-5794 · (920) 996-3264 · Fax (920) 830-5910
Phone(920) 358-1910
Fax(920) 358-1992
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1831140326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 49435
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
W5282 AMY AVE, Appleton, WI 54915
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Secondary Practice Location 1

Location 1134 Hospital DriveWatertown, WI 53098 · Phone (920) 261-6500 · Fax (920) 261-6107

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin J Hayes D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 16

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

KATIE BOERST FNP
Nurse Practitioner (Family)
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 358-1900
SUZANNE SWANSON MD
Obstetrics & Gynecology
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 358-1900
DR. ADAM ROBERT OLSON M.D.
Family Medicine
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 358-1900
DANIELLE L VANEVENHOVEN APNP
Nurse Practitioner (Family)
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 358-1900
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
General Acute Care Hospital
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 830-5900
AARON JAMES NELSON PT
Physical Therapist
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 831-5050
MR. LUKE E MENET APNP
Nurse Practitioner (Family)
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 358-1910
ABBY L SMOLCICH MD
Pediatrics
W5282 AMY AVE
APPLETON, WI 54915
Calumet County (920) 358-1900

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 Kevin Hayes's NPI number?

The NPI number for Kevin Hayes is 1831140326. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Kevin Hayes located?

Kevin Hayes practices at W5282 Amy Ave, Appleton, WI 54915. The listed phone number is (920) 358-1910.

What is Kevin Hayes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kevin Hayes enrolled in Medicare?

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

What insurance does Kevin Hayes accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Hayes was last updated on July 21, 2022. 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.