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ANTHONY RODRIQUEZ HAYES MD
NPI 1902810781
Family Medicine in Thomasville, NC

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
903 RANDOLPH ST, SUITE 1, THOMASVILLE, NC 27360(336) 475-7163(336) 475-1199 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 24, 2022, Oct 28, 2020 (3 updates tracked since 2020).

About Anthony Rodriquez Hayes Md NPPES

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

ANTHONY RODRIQUEZ HAYES MD (NPI 1902810781) is an individual family medicine provider in Thomasville, North Carolina, licensed in North Carolina (200500430) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1902810781
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY RODRIQUEZ HAYESCredential: MD
Location Address903 RANDOLPH ST, SUITE 1Thomasville, NC 27360-5898
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 475-7163 · Fax (336) 475-1199
Phone(336) 475-7163
Fax(336) 475-1199
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 28, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1902810781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 200500430
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.
903 RANDOLPH ST, Thomasville, NC 27360
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Other Identifiers 1

Medicaid5904521NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Anthony Rodriquez Hayes Md 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 ID6507867959
PECOS Enrollment IDI20070126000608
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 3

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.

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.
225 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27360 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%131 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
91%44 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
64%118 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%194 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
61%44 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
9 suppliers37 claims87 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims21 services$1.05 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$4.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$84.53 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers12 claims12 services$17.34 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 10

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

DR. ANGELA THAI AN TANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
903 RANDOLPH ST
THOMASVILLE, NC 27360
Davidson County (336) 475-7163
FORSYTH MEMORIAL HOSPITAL, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
903 RANDOLPH ST
THOMASVILLE, NC 27360
Davidson County (336) 765-0020
DONALD W. BOSKEN MD
Family Medicine
903 RANDOLPH ST, DBA CHAIR CITY FAMILY PRACTICE/MEDZONE
THOMASVILLE, NC 27360
Davidson County (336) 475-7163
ARLENE GACUTAN RAMOS MD
Family Medicine
903 RANDOLPH ST, SUITE 1
THOMASVILLE, NC 27360
Davidson County (336) 475-7163
LOUIS ALAN DEAN MD
Family Medicine
903 RANDOLPH ST, DBA CHAIR CITH FAMILY PRACTICE AND MEDZONE
THOMASVILLE, NC 27360
Davidson County (336) 475-7163
MRS. DONNAY HALL ELKINS FNP-C
Nurse Practitioner
903 RANDOLPH ST
THOMASVILLE, NC 27360
Davidson County (336) 475-7163
FORSYTH MEMORIAL HOSPITAL INC
Family Medicine
903 RANDOLPH ST
THOMASVILLE, NC 27360
Davidson County (336) 475-7163
MRS. ROUMYANA IVANOVA SPASSOVA FNP
Nurse Practitioner
903 RANDOLPH ST
THOMASVILLE, NC 27360
Davidson County (336) 765-0020

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 Anthony Hayes's NPI number?

The NPI number for Anthony Hayes is 1902810781. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Anthony Hayes located?

Anthony Hayes practices at 903 Randolph St Suite 1, Thomasville, NC 27360. The listed phone number is (336) 475-7163.

What is Anthony Hayes's specialty?

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

Is Anthony Hayes enrolled in Medicare?

Yes. Anthony 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 Anthony Hayes accept?

Health plans from Blue Cross and Blue Shield of NC list Anthony 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 Anthony Hayes affiliated with any hospitals?

According to CMS data, Anthony Hayes is affiliated with Novant Health Forsyth Medical Center and Novant Health Thomasville Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Hayes was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.