Individual provider Active NPI

Robert F Haynsworth Jr., MD

  • Pain Medicine Physician
  • Plano, TX
National Provider Identifier
1528046414
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
F9544 Issued in TX
Practice address
4708 Alliance Blvd Ste 810
Plano, TX 75093-5338
Phone
(469) 814-5960
Fax
(469) 814-5969
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X F9544 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd Ste 810
Plano, TX 75093-5338

Mailing address

4708 Alliance Blvd Ste 810
Plano, TX 75093-5338
Phone (469) 814-5960

Other identifiers 2

IdentifierTypeStateIssuer
033600001MedicaidTX
179778300OtherTXFEDERAL WORK COMP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000883 TX Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 1254387087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4708 Alliance Blvd
Suite 810
Plano, TX 75093-5338
Phone (469) 814-5960

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F. Haynsworth Jr., PA Pain Medicine CurrentSince Apr 28, 2010 Accepting new patients

Locations

4708 Alliance Blvd
Ste 780
Plano, TX 75093
Phone (469) 814-5960

4708 Alliance Blvd
Ste 810
Plano, TX 75093
Phone (469) 814-5960

2520 N Central Expy
Ste 400
Richardson, TX 75080
Phone (972) 231-1591

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1528046414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 810",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935338",
            "telephone_number": "469-814-5960",
            "fax_number": "469-814-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 810",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935338",
            "telephone_number": "469-814-5960",
            "fax_number": "469-814-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNSWORTH",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "F9544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033600001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORK COMP",
            "identifier": "179778300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.