Active NPI 1801839477 Individual Practitioner Male Practitioner

Dr. Michael Lynn Hayes , OD

Optometrist • Benton, KY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Hayes, OD is a certified Optometrist practicing in Benton, KY. With approximately 31 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1995, Dr. Hayes delivers high-quality medical care to the local community at 310 W 5TH ST.

Dr. Hayes does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

310 W 5th St

Benton, KY 420251102

Telephone 2705279983

Fax 2705279593

Associated Practice Facility / Clinic

🏢 Wal-Mart Stores East Lp Facility NPI 1437176757

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1995

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Benton, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +6.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Benton, KY (836 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hayes (31 Years) 31 Yrs

Benton Specialty Average (24.1 Years) 24.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	69	$75.49	$74.44
92014 Established patient complete exam of visual system	34	34	$72.00	$71.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$75.59	$74.67
92250 Photography of the retina	15	15	$46.67	$29.77
92004 New patient complete exam of visual system	14	14	$72.00	$71.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,732	12	$2.29	$1.05
99213 Established patient office or other outpatient visit, typically 15 minutes	72	69	$75.00	$74.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	27	$50.51	$49.43
92250 Photography of the retina	32	31	$44.53	$29.21
92014 Established patient complete exam of visual system	29	29	$70.97	$70.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$75.00	$74.07
92004 New patient complete exam of visual system	13	13	$72.00	$71.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	58	$72.95	$72.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	23	$49.10	$48.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$75.00	$74.44
92014 Established patient complete exam of visual system	21	21	$63.90	$63.61
92004 New patient complete exam of visual system	20	20	$72.00	$71.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	68	$72.04	$72.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	35	$48.00	$48.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$75.00	$75.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$98.88	$98.88
92014 Established patient complete exam of visual system	25	25	$62.00	$62.00
92004 New patient complete exam of visual system	24	24	$72.00	$72.00
92250 Photography of the retina	23	21	$41.30	$28.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$105.00	$105.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,863	12	$2.23	$1.09
99213 Established patient office or other outpatient visit, typically 15 minutes	87	79	$72.00	$67.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	27	$48.00	$39.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$74.89	$74.84
92014 Established patient complete exam of visual system	22	22	$62.00	$61.91
92250 Photography of the retina	18	18	$40.28	$31.97
92004 New patient complete exam of visual system	14	14	$72.00	$71.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,250	15	$2.20	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	111	104	$65.72	$63.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$65.51	$64.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	23	$48.00	$39.57
92250 Photography of the retina	28	28	$48.18	$38.82
92014 Established patient complete exam of visual system	25	24	$60.00	$59.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,412	12	$2.24	$1.20
99213 Established patient office or other outpatient visit, typically 15 minutes	114	110	$60.82	$60.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$60.80	$60.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	27	$46.50	$36.55
92250 Photography of the retina	22	22	$50.09	$40.44
92014 Established patient complete exam of visual system	11	11	$52.73	$51.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	124	$60.00	$58.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$60.00	$59.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	28	$45.38	$35.85
92250 Photography of the retina	33	33	$53.61	$48.90
92014 Established patient complete exam of visual system	18	18	$52.00	$50.88

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY 1318DT

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

77013183 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Sheri Harris

Technician/Technologist - Optician

NPI 1043940992

Timothy Greene

Technician/Technologist - Optician

NPI 1275262693

David Phillips

Technician/Technologist - Optician

NPI 1760112890

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2011

Registered at 310 W 5TH ST, BENTON, KY 420251102 (Tel: 2705279983)

📍

Updated Business Mailing Address October 06, 2011

Registered at 310 W 5TH ST, BENTON, KY 420251102 (Tel: 2705279983)

👤

Provider Name / Credentials Updated October 06, 2011

Recorded as MICHAEL HAYES, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2011

Optometrist (License #1318DT in KY)

🟢

Initial NPI Registration & Enumeration June 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michael Hayes. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801839477

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2006

Last Update: October 06, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

310 W 5th St

Benton, KY 420251102

Phone: 2705279983

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.