Nathan C Hayes, DO

Individual provider Active NPI Family Medicine Physician · Algoma, WI

NPI 1104949387 · NPPES record last updated Sep 19, 2013

Key facts

NPI
1104949387
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
52571 (WI)
Practice address
815 Jefferson St
Algoma, WI 54201-1733
Phone
(920) 487-3496
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health Cooperative of South Central Wisconsin (233 clinicians)

Practice addresses (Care Compare)

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

Hospital & facility affiliations

  • SSM Health at Home Home Health-Wisconsin Home health agency · Madison, WI · CCN 527184
  • University of Wi Hospitals & Clinics Authority Hospital · Madison, WI · CCN 520098

Merit-based Incentive Payment System (MIPS)

Final score
82.21 of 100 (group)
Quality
71.09
Promoting interoperability
99
Improvement activities
40
Cost
70.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110215000320 WI Practitioner - Family Practice 6002096690 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
52571WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin Current
since Jan 1, 2017
Accepting new patients

Locations

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

675 W Washington Ave
Madison, WI 53703
Phone (608) 257-5178

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52571 WI Yes

Addresses

Primary practice location

815 Jefferson St
Algoma, WI 54201-1733

Mailing address

815 Jefferson St
Algoma, WI 54201-1733
Phone (920) 487-3496

Other providers in Algoma, WI

All providers in Algoma, WI · Family Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.