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MS. ANDREA LYNN HAYES M.D.
NPI 1992744676
Specialist in Nashville, TN

Active since June 06, 2006Opted out of Medicare · through Apr 1, 2028
501 28TH AVE N, NASHVILLE, TN 37209(615) 320-1620(615) 327-0643 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Andrea Lynn Hayes M.d. NPPES

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

MS. ANDREA LYNN HAYES M.D. (NPI 1992744676) is an individual specialist in Nashville, Tennessee, licensed in Tennessee (MD0000025278) and active in the NPI registry since June 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992744676
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. ANDREA LYNN HAYESCredential: M.D.
Location Address501 28TH AVE NNashville, TN 37209-4001
Mailing Address501 28th Ave NNashville, TN 37209-4001 · (615) 320-1620 · Fax (615) 327-0643
Phone(615) 320-1620
Fax(615) 327-0643
Sole ProprietorYes
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1992744676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD0000025278
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
501 28TH AVE N, Nashville, TN 37209
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Other Identifiers 3

Medicare ID-Type Unspecified3814950TN
Medicare UPING50771TN
Medicaid3814950TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Andrea Lynn Hayes M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
83%1,489 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%7,113 patients5/55-star benchmark: 100%
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.
90%5,877 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
62%489 patients3/55-star benchmark: 90%
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…
65%2,656 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,949 patients
Patients tobacco: 91% · 1,949 patients
43%294 patients2/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%1,431 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%1,431 patients2/55-star benchmark: 79%
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 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers21 claims250 services$17.45 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers20 claims595 services$2.33 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers39 claims139 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims38 services$0.89 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.25 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers18 claims2,480 services$7.12 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 4

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

HAYES ENDOCRINE & DIABETES CENTER
Clinic/Center (Primary Care)
501 28TH AVE N
NASHVILLE, TN 37209
Davidson County (615) 320-1620
HAYES ENDOCRINE & DIABETES CENTER, PC
Specialist
501 28TH AVE N
NASHVILLE, TN 37209
Davidson County (615) 320-1620
MRS. JERILYN B BROWN N.P.
Nurse Practitioner (Gerontology)
501 28TH AVE N
NASHVILLE, TN 37209
Davidson County (615) 320-1620
LEAH FRANCES ALTFELD MS, RD, LDN, CDE
Dietitian, Registered
501 28TH AVE N
NASHVILLE, TN 37209
Davidson County (615) 324-1946

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 Andrea Hayes's NPI number?

The NPI number for Andrea Hayes is 1992744676. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Andrea Hayes located?

Andrea Hayes practices at 501 28th Ave N, Nashville, TN 37209. The listed phone number is (615) 320-1620.

What is Andrea Hayes's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Andrea Hayes enrolled in Medicare?

No. Andrea Hayes has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrea Hayes accept?

Health plans from Oscar Insurance Company list Andrea 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 Andrea Hayes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.