Gerard Joseph Haines, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C50000346 Issued in DE

Practice address

12100 Black Swan Drive
Suite 201
Lewes, DE 19958-4988

Phone

(302) 644-3311

Fax

(302) 644-3300

NPI assigned

May 15, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score

97.8 of 100Reported as group

Quality

96

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerard.haines.p2@direct.fsoortho.nextgenshare.com
• Direct secure messaging: ghaines22837@beebehealth.direct-ci.com

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.

• First State Orthopaedics PA

  dba Orthopaedic Associates of Southern Delaware

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1184681488
  Medicare reassignment Care Compare group
• First State Orthopaedics PA

  dba Rise Physical Therapy

  • Physical Therapist
  • Newark, DE
  • NPI 1679458327
  NPD
• First State Orthopaedics PA

  dba Orthopaedic Associates of Southern Delaware

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1114465812
  NPD (past)
• First State Orthopaedics, PA

  dba Orthopaedic Associates of Southern Delaware, PA

  • Orthopaedic Surgery Physician
  • Ocean View, DE
  • NPI 1316501281

  Physician Assistant

  NPD (past)
• First State Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Newark, DE
  • NPI 1346220266
  NPD (past)
• First State Orthopaedics, PA

  dba Orthopaedic Associates of Southern Delaware, PA

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1619528775

  Physician Assistant

  NPD (past)

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

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1326099250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE DR STE 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023358",
            "telephone_number": "302-451-6913",
            "fax_number": "302-368-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 BLACK SWAN DRIVE",
            "address_2": "SUITE 201",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584988",
            "telephone_number": "302-644-3311",
            "fax_number": "302-644-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17005 Old Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199584828",
            "country_code": "US",
            "telephone_number": "302-644-3311",
            "fax_number": "302-644-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINES",
        "first_name": "GERARD",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017128",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "1184681488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Haden
• Latoya Hadley
• Michele Hagan
• Shamaya Lynnshaye Hagan, LCSW
• James Alexander Hagen
• Emily Hains, PMHNP
• Harikrishna Halaharvi, DO
• Joydeep Haldar, MD
• John Eric Hale, MD
• Tiffany Hale

• Physician Assistant in Lewes, DE
• Providers in Lewes, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.