NPIMap

Individual provider Active NPI

Donald Scott Haynes, M.D.

  • Internal Medicine Physician
  • Homer, LA
National Provider Identifier
1306957386
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23682 Issued in LA
Practice address
912 W Main St
Homer, LA 71040-3328
Phone
(318) 927-3571
Fax
(318) 927-2677
NPI assigned
Aug 31, 2006
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23682 LA Primary

Addresses

Primary practice location

912 W Main St
Homer, LA 71040-3328

Mailing address

PO Box 29
Homer, LA 71040-0029
Phone (318) 927-3571

Other identifiers 1

IdentifierTypeStateIssuer
1486841MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000017 LA Practitioner - Internal Medicine 7012069727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

912 W Main St
Homer, LA 71040-3328
Phone (318) 927-3571

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
91.31
Promoting interoperability
95
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23682LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital CurrentSince Jul 1, 2000 Accepting new patients
Homer Memorial Hospital CurrentSince Jul 1, 2000 Accepting new patients
The Carpenter Hospice of Northwest Louisiana L.L.C. Past Accepting new patients
Claiborne Operator Group LLC Past Accepting new patients
Homer Memorial Hospital Past Accepting new patients
Nexion Health at Minden Inc Past Accepting new patients

Locations

620 E College St
Homer, LA 71040
Phone (318) 927-2024

912 W Main St
Homer, LA 71040
Phone (318) 927-2024

Interoperability endpoints

  • Direct secure messaging: dshaynes@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Claiborne RehabilitationHomer, LA, CCN 195545 Skilled nursing facility Adp of the SNF Aug 31, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1306957386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710400029",
            "telephone_number": "318-927-3571",
            "fax_number": "318-927-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W MAIN ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403328",
            "telephone_number": "318-927-3571",
            "fax_number": "318-927-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "DONALD",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "23682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1486841",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

Verify at the official NPI Registry.