Trevor J Haynes, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP185979 Issued in OR

Practice address

37569 Highway 26
Sandy, OR 97055-9301

Phone

(503) 668-5210

Fax

(877) 480-9759

NPI assigned

Jul 26, 2012

Last updated

May 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Foot and Ankle Associates LLCGroup PAC ID 5799047783, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
• Adventist Health Portland Hospital, Portland, OR, CCN 380060

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHGCBD
• FHIR API: https://fhir4.healow.com/fhir/r4/FHGCBD/Endpoint/FHGCBD
• Direct secure messaging: thaynes@direct.uspi.com
• Direct secure messaging: thaynes154495@direct.ohsu.edu

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

• Elite Foot & Ankle Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Sandy, OR
  • NPI 1700386992

  WA

  Medicare reassignment Care Compare group NPD Authorized official
• Elite Mobile Wound Care LLC

  • Podiatrist
  • Sandy, OR
  • NPI 1902634256
  Medicare reassignment NPD Authorized official
• Oregon Foot and Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Beaverton, OR
  • NPI 1912103367
  NPD (past)
• Robert W Geister and Associates Inc

  • Podiatric Clinic/Center
  • Sandy, OR
  • NPI 1386070464
  NPD (past)

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

• Legacy Mount Hood Medical Center

  • General Acute Care Hospital
  • Gresham, OR
  • NPI 1255354700
  Care Compare affiliation
• Portland Adventist Medical Center

  dba Adventist Health Portland

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1801887658
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1144576224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 BRONZE LOQUATE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37569 HIGHWAY 26",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559301",
            "telephone_number": "503-668-5210",
            "fax_number": "877-480-9759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10373 NE Hancock St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972203873",
            "country_code": "US",
            "telephone_number": "971-254-9844",
            "fax_number": "877-480-9759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17200 NW Corridor Ct Ste 108",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970063295",
            "country_code": "US",
            "telephone_number": "503-292-9252",
            "fax_number": "877-480-9759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11815 SW King James Pl Ste 60",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "OR",
            "postal_code": "972242479",
            "country_code": "US",
            "telephone_number": "503-639-8107",
            "fax_number": "877-480-9759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 NW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "OR",
            "postal_code": "970133533",
            "country_code": "US",
            "telephone_number": "503-668-5210",
            "fax_number": "877-480-9759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TREVOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP185979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Pediatric Dental Group LLC
• Kristin M Hart, PHARMD
• Meghan Jean Hawkes, LMT
• Helene Hawkins
• Danielle Hayes, LMT
• Jayne Ellen Zook Heckel, RD, LD
• Karen G Hedden, PMHNP
• Lauren Rose Herschorn, DC
• Julie J Hightman, LMT, LAC
• Michaela Hillis

• Foot & Ankle Surgery Podiatrist in Sandy, OR
• Providers in Sandy, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.