JON HAYNES (M.D.) – Emergency Medicine Physician, NPI 1023404498

JON HAYNES (M.D.) is a healthcare provider. based in Sacramento, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A145049 (CA). The NPI Number for JON HAYNES (M.D.) is 1023404498

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JON HAYNES (M.D.)
NPI
1023404498
Phone
(916) 734-8570
Address
2315 STOCKTON BLVD
Enumeration Date
12 April 2015
Last Update Date
10 July 2018

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5307494300
Graduation Year
2015 (11 years ago)
PAC ID
9335410166
Group Practice PAC ID
6103739131
Professional Enrollment ID
I20170811002305
Address ID
CA959015656MA726XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

Provider Addresses for JON HAYNES (M.D.)

  • 2315 STOCKTON BLVD

    SACRAMENTO, CA 958172201

    Phone: (916) 734-8570

    Fax: (916) 734-7950

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170811002305IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making528498$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only477453$0
99291Critical care, first 30-74 minutes157154$0
99284Emergency department visit with moderate level of medical decision making119118$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103739131View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineCA
-DE
Emergency MedicineCA
-CA
Emergency MedicineCA
Emergency MedicineNY
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I cross-check JON HAYNES (M.D.) using NPI 1023404498?
NPI 1023404498 belongs to JON HAYNES (M.D.); compare other details if you need extra assurance.
Is there an active status for JON HAYNES (M.D.)?
For scheduling context, JON HAYNES (M.D.) is shown as active in the registry.
How would a patient describe JON HAYNES (M.D.)'s focus?
For JON HAYNES (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JON HAYNES (M.D.) located near Sacramento?
JON HAYNES (M.D.) currently maps to Sacramento, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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