JACK EVERETT HAY (DO) – Integrative Medicine Physician, NPI 1780661835
Integrative Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACK EVERETT HAY (DO)
Loreto Drive, Pleasant Valley, Willoughby Hills, Lake County, Ohio, 44094, United States
WILLOUGHBY HILLS, OH 440949453
Phone: (440) 487-5334
Fax: (800) 503-9484
Type: Mailing
Lake County Memorial Hospital West, 36000, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States
WILLOUGHBY, OH 440944625
Phone: (440) 953-9600
Fax: (800) 503-9484
Type: Location
1400 W Main St
Bellevue, OH 448119088
Phone: (419) 483-4040
Type: Location
530 S MAIN ST
OBERLIN, OH 440741743
Phone: (440) 707-6247
Fax: (888) 450-1239
Type: Location
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: 2005-12-07
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 |
|---|---|---|---|---|
| I20051207000189 | I | Emergency Medicine | OH | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 122 | 113 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 59 | 56 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 40 | 38 | $0 |
| 99291 | Critical care, first 30-74 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 44094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DE | |
| - | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| - | PA | |
| - | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH |
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