ELSIE HAYNES (D.O.) – Family Medicine Physician, NPI 1538519384
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
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Provider Addresses for ELSIE HAYNES (D.O.)
902, Lakeview Avenue, Pueblo, Pueblo County, Colorado, 81004, United States
PUEBLO, CO 810043597
Phone: (719) 557-5855
Fax: (719) 557-4780
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)
CMS reports 18 Open Payments records for all available years, with a total value of $306.
Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($81).
Total Amount
$306
General + Research + Ownership
Payments
18
Total payment records
General Amount
$306
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190806003550 | I | Family Practice | CO | TBD |
| I20240713000377 | I | Family Practice | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 81004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MT | |
| Family Practice | OK | |
| Physician Assistant | KS | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Diagnostic Radiology | TX | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Nurse Practitioner | KS | |
| General Surgery | MT | |
| Physician Assistant | KS |
Reviews
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