Active NPI 1912059429 Individual Practitioner Male Practitioner

Dr. Peyton Hays , MD

Orthopaedic Surgery • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Peyton Hays, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 20 years of clinical experience since graduating from Js Weill Medical College, Cornell University in 2006, Dr. Hays delivers high-quality medical care to the local community at 281 LINCOLN ST.

Dr. Hays is affiliated with Optum Medical Care Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

281 Lincoln St
Med Staff Svcs

Worcester, MA 016052138

Telephone 5083348015

Associated Practice Facility / Clinic

🏢 A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -4.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Worcester, MA (746 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hays (20 Years) 20 Yrs

Worcester Specialty Average (24.3 Years) 24.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	463	326	$537.47	$145.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	343	343	$708.99	$190.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg	297	139	$5.00	$0.12
20550 Injection into tendon or ligament	192	129	$483.44	$63.70
99213 Established patient office or other outpatient visit, typically 15 minutes	127	94	$373.86	$103.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	54	$757.76	$205.35
26055 Incision of tendon covering	30	23	$2225.00	$234.70
64721 Release and/or relocation of hand nerve	27	25	$2035.00	$465.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$452.81	$127.66
20526 Injection of carpal tunnel	12	11	$420.00	$97.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$947.27	$252.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	531	134	$5.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	250	$411.35	$147.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	270	270	$585.83	$193.24
20550 Injection into tendon or ligament	179	119	$389.44	$63.66
99213 Established patient office or other outpatient visit, typically 15 minutes	157	122	$298.60	$104.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$401.27	$132.01
64721 Release and/or relocation of hand nerve	46	34	$1832.83	$436.87
26055 Incision of tendon covering	43	30	$2168.84	$218.09
26160 Removal of growth of tendon finger or hand	19	17	$3196.51	$308.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$576.67	$207.53
20612 Aspiration and/or injection of cyst of tendon	15	15	$320.00	$77.64
64718 Release and/or relocation of elbow nerve	14	13	$3090.00	$750.71
26145 Repair of tendon, finger and/or hand	12	11	$2650.00	$588.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	321	250	$380.00	$151.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	236	236	$580.00	$200.61
20550 Injection into tendon or ligament	186	118	$241.75	$65.79
99213 Established patient office or other outpatient visit, typically 15 minutes	109	84	$260.00	$108.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg	66	12	$5.00	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$385.00	$136.94
26055 Incision of tendon covering	36	30	$2110.00	$255.67
64721 Release and/or relocation of hand nerve	25	23	$1635.00	$529.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$510.00	$215.00
26145 Repair of tendon, finger and/or hand	12	11	$2290.00	$609.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	235	$380.00	$155.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	278	278	$580.00	$203.67
20550 Injection into tendon or ligament	193	132	$195.00	$66.83
J1100 Injection, dexamethasone sodium phosphate, 1 mg	152	99	$5.00	$0.15
99213 Established patient office or other outpatient visit, typically 15 minutes	139	119	$260.00	$111.67
26055 Incision of tendon covering	47	35	$2110.00	$241.87
64721 Release and/or relocation of hand nerve	33	26	$1635.00	$463.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$385.00	$138.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$510.00	$220.70
26145 Repair of tendon, finger and/or hand	25	16	$1930.00	$495.07
20610 Aspiration and/or injection of fluid from large joint	17	13	$220.00	$83.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$730.00	$272.63
73130 X-ray of hand, minimum of 3 views	12	11	$120.00	$45.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	284	284	$580.00	$196.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg	201	111	$5.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	172	$380.00	$129.40
99213 Established patient office or other outpatient visit, typically 15 minutes	170	144	$260.00	$90.04
20550 Injection into tendon or ligament	159	104	$195.00	$62.50
26055 Incision of tendon covering	43	28	$2110.00	$260.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$385.00	$130.84
64721 Release and/or relocation of hand nerve	30	27	$1635.00	$549.42
29125 Application of nonmoveable forearm to hand splint	17	14	$235.00	$64.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	312	312	$473.33	$192.50
99213 Established patient office or other outpatient visit, typically 15 minutes	265	211	$211.55	$86.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg	192	117	$5.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	169	$316.60	$126.35
20550 Injection into tendon or ligament	164	109	$238.60	$58.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$330.16	$128.63
26055 Incision of tendon covering	53	37	$2035.28	$290.86
64721 Release and/or relocation of hand nerve	38	31	$1414.61	$524.58
29125 Application of nonmoveable forearm to hand splint	27	21	$209.07	$52.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	15	$5.00	$1.57
29125 Application of nonmoveable forearm to hand splint	18	18	$211.67	$24.20
26160 Removal of growth of tendon finger or hand	16	16	$1841.25	$320.14
20610 Aspiration and/or injection of fluid from large joint	14	13	$247.86	$78.80
25600 Closed treatment of broken forearm bones	14	14	$1048.21	$407.40
29075 Application of elbow to finger cast	11	11	$299.55	$91.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	195	$200.00	$84.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	179	$300.00	$122.85
J1100 Injection, dexamethasone sodium phosphate, 1 mg	195	147	$1.00	$0.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	185	185	$450.00	$192.05
20550 Injection into tendon or ligament	162	120	$250.00	$60.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$300.00	$126.46
64721 Release and/or relocation of hand nerve	36	30	$1300.00	$520.65
26055 Incision of tendon covering	28	24	$2000.00	$306.35
20610 Aspiration and/or injection of fluid from large joint	26	24	$250.00	$77.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	15	$20.00	$1.78
25600 Closed treatment of broken forearm bones	19	19	$1000.00	$402.66
29125 Application of nonmoveable forearm to hand splint	16	15	$200.00	$51.74
20526 Injection of carpal tunnel	11	11	$250.00	$94.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$135.00	$51.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	168	$200.00	$84.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	199	199	$450.00	$190.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	99	$300.00	$122.23
20550 Injection into tendon or ligament	89	68	$250.00	$61.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$300.00	$125.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	58	$20.00	$1.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg	53	45	$1.00	$0.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	38	$135.00	$51.10
64721 Release and/or relocation of hand nerve	40	28	$1300.00	$527.12
26055 Incision of tendon covering	18	14	$2000.00	$306.24
20610 Aspiration and/or injection of fluid from large joint	13	12	$250.00	$70.18
25600 Closed treatment of broken forearm bones	12	12	$1000.00	$398.47

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 228586

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Optum Medical Care Pc

90 S Bedford Rd, Mount Kisco, NY 105493412

Phone: 9142411050

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Thomas Evans , MD

Emergency Medicine

NPI 1013068147

Doctor of Medicine (M.D.)

Dr. Rajiv Balasuriya , MD

Family Medicine

NPI 1013172626

Doctor of Medicine (M.D.)

Matthew Clark

Dentist

NPI 1033259908

Dr. Frank Traupman , MD

Surgery

NPI 1033371810

Doctor of Medicine (M.D.)

Dr. Lesley Woods , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1043364466

Doctor of Medicine (M.D.)

Dr. Sergio Zendejas , MD

Anesthesiology

NPI 1043367188

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 016052138 (Tel: 5083348015)

📍

Updated Business Mailing Address July 08, 2007

Registered at 281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 016052138 (Tel: 5083348015)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PEYTON HAYS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #228586 in MA)

🟢

Initial NPI Registration & Enumeration January 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912059429

Entity Type:

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

Enumeration Date: January 17, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

281 Lincoln St, Med Staff Svcs

Worcester, MA 016052138

Phone: 5083348015

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.