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DR. MAGDALENA SUNSHINE HAYES M.D.
NPI 1992966709
Family Medicine in Hendersonville, NC

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
709 N JUSTICE ST, SUITE B, HENDERSONVILLE, NC 28791(828) 696-1234 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Magdalena Sunshine Hayes M.d. NPPES

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

DR. MAGDALENA SUNSHINE HAYES M.D. (NPI 1992966709) is an individual family medicine provider in Hendersonville, North Carolina, licensed in North Carolina (2010-00242) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2007).

NPPES Registry Identity

NPI1992966709
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAGDALENA SUNSHINE HAYESCredential: M.D.
Location Address709 N JUSTICE ST, SUITE BHendersonville, NC 28791-3454
Mailing Address709 N Justice StHendersonville, NC 28791-3454 · (828) 772-0268
Phone(828) 696-1234
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2007
Enumeration DateJune 24, 2008
Last NPPES UpdateOctober 24, 2012
✔ NPI 1992966709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2010-00242
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.
709 N JUSTICE ST, Hendersonville, NC 28791
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Magdalena Sunshine Hayes M.d. 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 ID7416080478
PECOS Enrollment IDI20100728000784
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 Reassignments

2

Medicare enrollment records show Magdalena Hayes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Community Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
709 N JUSTICE ST STE B
Hendersonville, NC 28791
NPI 1437593787 (828) 692-4289
Pardee Neurology Associates
Same address
Neurology
709 N JUSTICE ST, SUITE D
Hendersonville, NC 28791
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Henderson County Hospital Corporation
  • 401 clinicians in this Medicare group
NPI 1447540323 (828) 694-4552

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services15 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.
23 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$7.70 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.40 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$16.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$75.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$184.51 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.

AARON MAY PA-C
Physician Assistant
709 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1234
PARDEE NURSE MIDWIFERY
Advanced Practice Midwife
709 N JUSTICE ST, SUITE C
HENDERSONVILLE, NC 28791
Henderson County (828) 698-7181
SESALIE DREW RHINEHART PHARMD
Pharmacist (Ambulatory Care)
709 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-7650
DR. AMANDA ROLLINS MAXWELL MD
Family Medicine
709 N JUSTICE ST, SUITE B
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1255
RICHARD HUDSPETH M.D.
Family Medicine
709 N JUSTICE ST, SUTIE B
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1234
PARDEE INTERNAL MEDICINE ASSOCIATES
Internal Medicine
709 N JUSTICE ST, SUITE A
HENDERSONVILLE, NC 28791
Henderson County (828) 694-7630
PARDEE NEUROLOGY ASSOCIATES
Psychiatry & Neurology (Neurology)
709 N JUSTICE ST, SUITE D
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4552
HENDERSONVILLE FAMILY HEALTH CENTER-PSYCH
Psychologist (Family)
709 N JUSTICE ST, SUITE B
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1234

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 Magdalena Hayes's NPI number?

The NPI number for Magdalena Hayes is 1992966709. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Magdalena Hayes located?

Magdalena Hayes practices at 709 N Justice St Suite B, Hendersonville, NC 28791. The listed phone number is (828) 696-1234.

What is Magdalena Hayes's specialty?

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

Is Magdalena Hayes enrolled in Medicare?

Yes. Magdalena 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.

Which organizations bill Medicare for Magdalena Hayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Magdalena Hayes reassigns Medicare benefits to 2 organizations: Blue Ridge Community Health Services, Inc. (Hendersonville, NC) and Pardee Neurology Associates (Hendersonville, NC). Each 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 Magdalena Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Magdalena Hayes accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Magdalena 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 Magdalena Hayes affiliated with any hospitals?

According to CMS data, Magdalena Hayes is affiliated with Margaret R Pardee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Magdalena Hayes was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.