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ERIN KINNEY HAYHOW D.O.
NPI 1922489772
Family Medicine in Grand Rapids, MI

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7888(231) 672-2901 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, May 27, 2020, Oct 31, 2018 and 2 more (5 updates tracked since 2016).

About Erin Kinney Hayhow D.o. NPPES

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

ERIN KINNEY HAYHOW D.O. (NPI 1922489772) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101021964) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1922489772
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERIN KINNEY HAYHOWCredential: D.O.
Location Address426 MICHIGAN ST NEGrand Rapids, MI 49503-5609
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-7888
Fax(231) 672-2901
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateMarch 18, 20215 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1922489772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101021964
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.
426 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Erin Kinney

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Erin Kinney Hayhow 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 ID8325398282
PECOS Enrollment IDI20180913003460
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 4

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.
70 services43 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.
27 services27 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services11 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%807 patients5/55-star benchmark: 99%
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.13 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 20

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

DR. NICHOLAS ALEXANDER STEPHANOFF M.D.
Family Medicine
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7888
RITA DEKKER
Nurse Practitioner
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-2778
JENNIFER MARIE SHANLEY CNM
Advanced Practice Midwife
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3302
MICHIGAN STREET OPTICAL
Durable Medical Equipment & Medical Supplies
426 MICHIGAN ST NE, SUITE 101
GRAND RAPIDS, MI 49503
Kent County (616) 459-1844
AMY COX MD
Family Medicine
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7888
TAMI JOY MICHELE DO
Obstetrics & Gynecology
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3302
MARGUERITE B SOWERS PA-C
Physician Assistant (Medical)
426 MICHIGAN ST NE, SUITE 201
GRAND RAPIDS, MI 49503
Kent County (616) 459-8209
MOLLY JANE TIESENGA APRN
Nurse Practitioner (Adult Health)
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-8338

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 Erin Hayhow's NPI number?

The NPI number for Erin Hayhow is 1922489772. It was assigned to this individual provider in the NPPES registry on June 17, 2015. The provider is also known as Erin Kinney.

Where is Erin Hayhow located?

Erin Hayhow practices at 426 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7888.

What is Erin Hayhow's specialty?

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

Is Erin Hayhow enrolled in Medicare?

Yes. Erin Hayhow 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 Erin Hayhow accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Erin Hayhow 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 Erin Hayhow affiliated with any hospitals?

According to CMS data, Erin Hayhow is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Erin Hayhow was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.