DR. MICHAEL C HAYMORE DDS
NPI 1861623811
Dentist - General Practice in Edmond, OK

Active since August 06, 2009PECOS Enrolled
1612 NW 179TH TER, EDMOND, OK 73012(520) 822-4904 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 6, 2023, Jan 10, 2018 (2 updates tracked since 2018).

About Dr. Michael C Haymore Dds NPPES

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

DR. MICHAEL C HAYMORE DDS (NPI 1861623811) is an individual general practice provider in Edmond, Oklahoma, licensed in Arizona (7808) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861623811
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL C HAYMORECredential: DDS
Location Address1612 NW 179TH TEREdmond, OK 73012-4182
Mailing Address1612 Nw 179th TerEdmond, OK 73012-4182 · (520) 822-4904
Sole ProprietorNo
Enumeration DateAugust 6, 2009
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1861623811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · 7808
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1612 NW 179TH TER, Edmond, OK 73012

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 (PECOS)

Dr. Michael C Haymore Dds 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 73012 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
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861623811, enumerated as an "individual" on August 06, 2009.

The provider is located at 1612 NW 179TH TER EDMOND, OK 73012 and the phone number is (520) 822-4904.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.