JACOB RILEY HAYLES (PA-C) – Physician Assistant, NPI 1427784115
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for JACOB RILEY HAYLES (PA-C)
1320 W LOMBARD ST
DAVENPORT, IA 528042029
Phone: (563) 333-5827
Type: Mailing
600 JOHN DEERE RD STE 200
MOLINE, IL 612656812
Phone: (309) 779-4210
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $420.
Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Exact Sciences Corporation ($145).
Total Amount
$420
General + Research + Ownership
Payments
21
Total payment records
General Amount
$420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $145 |
| Lilly USA, LLC | $41 |
| Novartis Pharmaceuticals Corporation | $35 |
| Dexcom, Inc. | $33 |
| Novo Nordisk Inc | $33 |
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: 2024-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240412003591 | I | Physician Assistant | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| D E R M A T O L O G Y | OR | |
| Physician Assistant | IL | |
| P O D I A T R Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Physician Assistant | IA | |
| D E R M A T O L O G Y | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL |
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