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TERRY HAYES MD
NPI 1932186285
Family Medicine in Jacksonville, FL

Active since December 28, 2005PECOS Enrolled
91.62/100
CMS Quality Rating
11261 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 292-9033(904) 292-4127 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Terry Hayes Md NPPES

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

TERRY HAYES MD (NPI 1932186285) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME25742) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932186285
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTERRY HAYESCredential: MD
Location Address11261 SAN JOSE BLVDJacksonville, FL 32223-7230
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 292-9033
Fax(904) 292-4127
Sole ProprietorNo
Enumeration DateDecember 28, 2005
Last NPPES UpdateDecember 27, 2018
✔ NPI 1932186285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME25742
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.
11261 SAN JOSE BLVD, Jacksonville, FL 32223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terry Hayes Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Terry Hayes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Primary Care Inc
Same address
Family Medicine
11261 SAN JOSE BLVD
Jacksonville, FL 32223
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1770764607 (904) 292-9033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
332 services202 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
285 services182 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.
105 services105 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services14 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
13 suppliers55 claims136 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims19 services$1.00 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$8.16 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 13

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

ALEXANDRA JUDITH SHOEMAKER PA-C
Physician Assistant
11261 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 292-9033
SONJA FRANCE MD
Pediatrics
11261 SAN JOSE BLVD, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32223
Duval County (904) 292-9033
MS. EMILY LYNN EDWARDS PA-C
Physician Assistant
11261 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 292-9033
DR. SOFIJA ANGELINA RAK MD
Family Medicine
11261 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 292-9033
CATHERINE E IYOHA-IDIONG MB CHB
Family Medicine
11261 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 292-9033
BROOKE TURNAMIAN STUTTS PA-C
Physician Assistant
11261 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 292-9033
NAIM J QUAIL MD
Family Medicine
11261 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 292-9033
CATHERINE HARTLEY MD
Pediatrics
11261 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 292-9033

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 Terry Hayes's NPI number?

The NPI number for Terry Hayes is 1932186285. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Terry Hayes located?

Terry Hayes practices at 11261 San Jose Blvd, Jacksonville, FL 32223. The listed phone number is (904) 292-9033.

What is Terry Hayes's specialty?

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

Is Terry Hayes enrolled in Medicare?

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

Which organization bills Medicare for Terry Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Hayes reassigns Medicare benefits to Baptist Primary Care Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terry Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Hayes accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Terry 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 Terry Hayes was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.