Active NPI 1174587943 Individual Practitioner Male Practitioner

Dr. Michael J Hayes , MD

Internal Medicine • Marion, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Hayes, MD is a certified Internal Medicine practicing in Marion, OH. With approximately 46 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 1980, Dr. Hayes delivers high-quality medical care to the local community at 980 S PROSPECT ST.

Dr. Hayes is affiliated with Marion Area Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood glucose (sugar) test performed by hand-held instrument, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

980 S Prospect St
Suite 1

Marion, OH 433026225

Telephone 7403876400

Fax 7403876027

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Marion, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +14.8 yrs vs City Avg

City Avg: 31.2 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

27 Specialists

Practicing in Marion, OH (5516 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hayes (46 Years) 46 Yrs

Marion Specialty Average (31.2 Years) 31.2 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	1,738	346	$187.00	$77.05
99213 Established patient office or other outpatient visit, typically 15 minutes	395	194	$126.00	$70.22
82962 Blood glucose (sugar) test performed by hand-held instrument	225	96	$7.00	$3.16
90662 Influenza vaccine split virus, preservative free	177	175	$197.00	$81.25
G0008 Administration of influenza virus vaccine	175	173	$36.00	$30.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	85	85	$316.00	$8.72
93000 Routine ekg using at least 12 leads including interpretation and report	50	47	$43.00	$13.81
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	22	$34.00	$16.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	28	26	$154.00	$50.28
99496 Transitional care management services for problem of high complexity	21	20	$434.00	$101.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$477.00	$15.71
G0009 Administration of pneumococcal vaccine	12	12	$43.00	$30.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$104.00	$52.14

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	1,707	356	$187.00	$76.49
99213 Established patient office or other outpatient visit, typically 15 minutes	663	260	$126.00	$70.15
G0008 Administration of influenza virus vaccine	169	169	$36.00	$29.36
82962 Blood glucose (sugar) test performed by hand-held instrument	167	79	$7.00	$3.08
90662 Influenza vaccine split virus, preservative free	167	167	$197.00	$71.91
93000 Routine ekg using at least 12 leads including interpretation and report	90	72	$43.00	$13.92
87804 Detection test by immunoassay with direct visual observation for influenza virus	80	38	$34.00	$15.88
83036 Hemoglobin A1C level	68	51	$27.00	$9.24
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	53	49	$154.00	$48.38
99442 Telephone medical discussion with physician, 11-20 minutes	34	31	$126.00	$87.33
99495 Transitional care management services for problem of at least moderate complexity	28	24	$309.00	$84.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$104.00	$50.19
99496 Transitional care management services for problem of high complexity	19	18	$434.00	$118.36

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	1,739	350	$187.00	$76.18
99213 Established patient office or other outpatient visit, typically 15 minutes	747	283	$126.00	$70.47
G0008 Administration of influenza virus vaccine	207	202	$36.00	$27.96
90662 Influenza vaccine split virus, preservative free	202	198	$197.00	$68.14
82962 Blood glucose (sugar) test performed by hand-held instrument	187	99	$7.00	$3.23
99442 Telephone medical discussion with physician, 11-20 minutes	87	66	$125.60	$87.87
93000 Routine ekg using at least 12 leads including interpretation and report	77	71	$43.00	$13.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	58	27	$34.00	$16.22
83036 Hemoglobin A1C level	46	46	$27.00	$9.52
99496 Transitional care management services for problem of high complexity	27	26	$434.00	$100.08
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	25	24	$154.00	$50.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$104.00	$51.46
99495 Transitional care management services for problem of at least moderate complexity	17	12	$309.00	$109.80

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	1,557	376	$187.00	$127.12
99213 Established patient office or other outpatient visit, typically 15 minutes	993	334	$126.00	$89.24
82962 Blood glucose (sugar) test performed by hand-held instrument	277	142	$7.00	$3.23
G0008 Administration of influenza virus vaccine	220	217	$36.00	$16.19
90662 Influenza vaccine split virus, preservative free	216	213	$196.61	$65.14
99442 Telephone medical discussion with physician, 11-20 minutes	100	46	$126.00	$90.00
93000 Routine ekg using at least 12 leads including interpretation and report	86	77	$42.20	$13.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	11	$45.00	$13.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	20	$104.00	$51.64
99495 Transitional care management services for problem of at least moderate complexity	20	20	$309.00	$192.53
83036 Hemoglobin A1C level	16	16	$27.00	$9.71
99496 Transitional care management services for problem of high complexity	15	15	$434.00	$273.23

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	1,290	357	$187.00	$106.22
99213 Established patient office or other outpatient visit, typically 15 minutes	973	333	$125.96	$72.90
82962 Blood glucose (sugar) test performed by hand-held instrument	265	141	$7.00	$3.19
99442 Telephone medical discussion with physician, 11-20 minutes	204	117	$124.90	$72.72
G0008 Administration of influenza virus vaccine	201	199	$36.00	$15.98
90662 Influenza vaccine split virus, preservative free	197	195	$181.25	$60.24
93000 Routine ekg using at least 12 leads including interpretation and report	82	75	$39.59	$16.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$316.00	$110.96
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	68	14	$77.00	$43.70
99495 Transitional care management services for problem of at least moderate complexity	26	21	$300.92	$168.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	23	$104.00	$52.28
99496 Transitional care management services for problem of high complexity	20	20	$429.25	$224.71
87502 Detection test by nucleic acid for multiple types influenza virus	19	19	$315.00	$93.88
G0009 Administration of pneumococcal vaccine	17	17	$43.00	$15.99
90670 Pneumococcal vaccine for injection into muscle	15	15	$348.00	$226.18

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	2,363	446	$187.00	$103.62
99213 Established patient office or other outpatient visit, typically 15 minutes	659	295	$126.00	$70.76
82962 Blood glucose (sugar) test performed by hand-held instrument	418	217	$7.00	$3.18
G0008 Administration of influenza virus vaccine	175	175	$36.00	$15.66
90662 Influenza vaccine split virus, preservative free	172	172	$114.00	$54.25
93000 Routine ekg using at least 12 leads including interpretation and report	102	86	$39.00	$15.87
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	81	15	$77.00	$42.76
99495 Transitional care management services for problem of at least moderate complexity	79	66	$294.00	$156.88
99496 Transitional care management services for problem of high complexity	39	36	$415.00	$221.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	26	$104.00	$50.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$316.00	$110.94
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	24	21	$176.00	$87.80
90670 Pneumococcal vaccine for injection into muscle	24	24	$348.00	$210.60
G0009 Administration of pneumococcal vaccine	23	23	$43.00	$15.75
87502 Detection test by nucleic acid for multiple types influenza virus	12	12	$315.00	$93.88

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	2,409	457	$187.00	$102.92
99213 Established patient office or other outpatient visit, typically 15 minutes	728	316	$126.00	$69.56
82962 Blood glucose (sugar) test performed by hand-held instrument	352	186	$7.00	$3.19
G0008 Administration of influenza virus vaccine	191	191	$36.00	$19.20
90662 Influenza vaccine split virus, preservative free	184	184	$114.00	$52.28
93000 Routine ekg using at least 12 leads including interpretation and report	98	83	$39.00	$15.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	76	16	$77.00	$43.33
99495 Transitional care management services for problem of at least moderate complexity	54	43	$294.00	$157.33
99496 Transitional care management services for problem of high complexity	46	41	$415.00	$223.00
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	25	22	$176.00	$89.03
G0009 Administration of pneumococcal vaccine	25	25	$43.00	$19.30
90670 Pneumococcal vaccine for injection into muscle	24	24	$348.00	$201.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	20	$104.00	$51.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$76.00	$40.38

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	2,922	501	$187.00	$102.57
99213 Established patient office or other outpatient visit, typically 15 minutes	591	259	$126.00	$69.92
82962 Blood glucose (sugar) test performed by hand-held instrument	448	213	$7.00	$3.14
93000 Routine ekg using at least 12 leads including interpretation and report	106	90	$39.00	$15.99
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	55	15	$77.00	$43.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	28	$104.00	$51.42
99495 Transitional care management services for problem of at least moderate complexity	22	22	$294.00	$155.93
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	21	20	$176.00	$88.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$76.00	$41.52

Medical Specialties & State Licenses

CMS Verified: 2022-03-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.049227

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0521368 (OH)

Commercial Insurance / Payer ID Pponext

311098079 (OH)

Commercial Insurance / Payer ID Anthem Bcbs

000000118433

Commercial Insurance / Payer ID Cigna

311098079111 (OH)

Commercial Insurance / Payer ID Aetna

634982 (OH)

Commercial Insurance / Payer ID Medicare Group

9121643 (OH)

Commercial Insurance / Payer ID Medicare Group

9121647 (OH)

Commercial Insurance / Payer ID Uhc

0400328 (OH)

Commercial Insurance / Payer ID Clearinghouse Submitter#

353077 (OH)

Hospital & Practice Group Affiliations

Marion Area Physicians Llc

1040 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Marion Area Physicians Llc

1050 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Marion Area Physicians Llc

960 S Prospect St, Marion, OH 433026225

Phone: 7403832776

Marion Area Physicians Llc

980 S Prospect St, Marion, OH 433026225

Phone: 8002826741

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Vivek Awasty , MD

Internal Medicine

NPI 1093718207

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address March 21, 2022

Registered at PO BOX 7527, DUBLIN, OH 430170727

📍

Updated Business Mailing Address October 02, 2018

Registered at L-3652, COLUMBUS, OH 432600001 (Tel: 7403837927)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Internal Medicine (License #35.049227 in OH)

✅

NPI Profile Active October 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2014

Registered at 980 S PROSPECT ST, SUITE 1, MARION, OH 433026225 (Tel: 7403876400)

📍

Updated Business Mailing Address October 08, 2014

Registered at L-3549, COLUMBUS, OH 432600001 (Tel: 7403837927)

👤

Provider Name / Credentials Updated October 08, 2014

Recorded as MICHAEL HAYES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2014

Internal Medicine (License #35.049227 in OH)

🟢

Initial NPI Registration & Enumeration April 17, 2006

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: 1174587943

Entity Type:

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

Enumeration Date: April 17, 2006

Last Update: March 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7527

Dublin, OH 430170727

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.