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MR. GARY D HAYDEN PA-C
NPI 1992797625
Physician Assistant in Shelbyville, IL

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1215 W MAIN ST, SHELBYVILLE, IL 62565(217) 774-4305(217) 774-4306 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gary D Hayden Pa-c NPPES

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

MR. GARY D HAYDEN PA-C (NPI 1992797625) is an individual physician assistant in Shelbyville, Illinois, licensed in Illinois (085-001274) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1992797625
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GARY D HAYDENCredential: PA-C
Location Address1215 W MAIN STShelbyville, IL 62565-1252
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4693 · (217) 238-6055
Phone(217) 774-4305
Fax(217) 774-4306
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 18, 2005
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1992797625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-001274
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085001274 (IL)
1215 W MAIN ST, Shelbyville, IL 62565
Open in Google Maps ↗

Other Identifiers 1

Other371444997IL · Tin

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

Mr. Gary D Hayden Pa-c 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 ID8527067123
PECOS Enrollment IDI20061208000297
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 5

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 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.
437 services181 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.
122 services95 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
40 services27 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services18 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62565 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

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
4 suppliers101 claims138 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers22 claims23 services$1.03 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$6.00 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$42.34 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$2.61 avg. paid by Medicare
Ostomy accessory; convex insert A5093
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$1.77 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.

DR. DORIS ANN BOWERS M.D.
Family Medicine
1215 W MAIN ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4305
KRISTIN MARIE HAAG PA-C
Physician Assistant
1215 W MAIN ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4305
JACQUELINE R CLAYTON APN
Nurse Practitioner (Family)
1215 W MAIN ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4305
SAMIHA MCCONNELL APRN
Nurse Practitioner (Family)
1215 W MAIN ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4305

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 Gary Hayden's NPI number?

The NPI number for Gary Hayden is 1992797625. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Gary Hayden located?

Gary Hayden practices at 1215 W Main St, Shelbyville, IL 62565. The listed phone number is (217) 774-4305.

What is Gary Hayden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gary Hayden enrolled in Medicare?

Yes. Gary Hayden 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.

Is Gary Hayden affiliated with any hospitals?

According to CMS data, Gary Hayden is affiliated with Sarah Bush Lincoln Health Center and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Gary Hayden was last updated on September 24, 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.