DAVID THEODORE HAYES (M.D.) – Pediatrics Physician, NPI 1043260656
Pediatrics Physician
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NPPES metrics only — not quality of care.
640 PEDIATRIC MEDICINE in WI
Provider Addresses for DAVID THEODORE HAYES (M.D.)
5012 S US HIGHWAY 75 STE 300
ATTN BILLING
DENISON, TX 750204589
Phone: (903) 416-6200
Type: Mailing
707 14th St
Baraboo, WI 539131539
Phone: (608) 356-1400
Fax: (608) 356-1367
Type: Location
11116 Medical Campus Rd
Hagerstown, MD 217426710
Phone: (301) 790-8804
Type: Location
812 Gorman Ave
Elkins, WV 262413181
Phone: (304) 637-3894
Fax: (304) 630-3077
Type: Location
5012 S US HIGHWAY 75
SUITE 300
DENISON, TX 750204587
Phone: (903) 416-6200
Fax: (903) 416-6201
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: 2025-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20081223000263 | I | Pediatric Medicine | TX | TBD |
| I20241001001482 | I | Pediatric Medicine | WI | TBD |
| I20250520001835 | I | Pediatric Medicine | SD | TBD |
| I20250813000080 | I | Hospitalist | WV | 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 75020)
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