EDWARD P HAYES MD
NPI 1922194976
Orthopaedic Surgery - Hand Surgery in Eau Claire, WI

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2116 CRAIG RD, EAU CLAIRE, WI 54701(715) 858-4500 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward P Hayes Md NPPES

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

EDWARD P HAYES MD (NPI 1922194976) is an individual hand surgery provider in Eau Claire, Wisconsin, licensed in Wisconsin (36946) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1994).

NPPES Registry Identity

NPI1922194976
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameEDWARD P HAYESCredential: MD
Location Address2116 CRAIG RDEau Claire, WI 54701-6149
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1994
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 5, 2011
NPI 1922194976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in WI · 36946
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 36946 (WI)
2116 CRAIG RD, Eau Claire, WI 54701

Other Identifiers 1

MedicaidAPPRWI

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

Edward P 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 ID4183517568
PECOS Enrollment IDI20040209000149
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 12

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.

X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
75 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
58 services44 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.
54 services50 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
37 services34 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
34 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
2116 CRAIG RD
EAU CLAIRE, WI 54701
Nurse Practitioner (Family)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Nurse Anesthetist, Certified Registered
2116 CRAIG RD
EAU CLAIRE, WI 54701
Internal Medicine (Gastroenterology)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Physician Assistant
2116 CRAIG RD
EAU CLAIRE, WI 54701
Psychiatry & Neurology (Sleep Medicine)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Advanced Practice Midwife
2116 CRAIG RD
EAU CLAIRE, WI 54701
Internal Medicine (Interventional Cardiology)
2116 CRAIG RD
EAU CLAIRE, WI 54701

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 Edward Hayes's NPI number?

The NPI number for Edward Hayes is 1922194976. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Edward Hayes located?

Edward Hayes practices at 2116 Craig Rd, Eau Claire, WI 54701. The listed phone number is (715) 858-4500.

What is Edward Hayes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Edward Hayes enrolled in Medicare?

Yes. Edward 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 Edward Hayes accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Edward 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 Edward Hayes affiliated with any hospitals?

According to CMS data, Edward Hayes is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for Edward Hayes was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.