MR. THEODORE DAVID JR. HAYNES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144294158

MR. THEODORE DAVID JR. HAYNES (CRNA) is a healthcare provider. based in Wichita falls, Texas. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 549839 (TX). The NPI Number for MR. THEODORE DAVID JR. HAYNES (CRNA) is 1144294158

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. THEODORE DAVID JR. HAYNES (CRNA)
NPI
1144294158
Phone
(940) 691-1151
Address
2959 S SHEPHERDS GLN
Enumeration Date
15 February 2006
Last Update Date
19 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034383999
Graduation Year
1996 (30 years ago)
PAC ID
9739173253
Group Practice PAC ID
6002072055
Professional Enrollment ID
I20190701001269
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. THEODORE DAVID JR. HAYNES (CRNA)

  • 2959, South Shepherds Glen, Sikes Estates, Wichita Falls, Wichita County, Texas, 76308, United States

    WICHITA FALLS, TX 763085450

    Phone: (940) 691-1151

    Type: Mailing

  • United Regional Health Care System, 1600, 11th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    DEPT. ANESTHESIA

    WICHITA FALLS, TX 763014300

    Phone: (940) 764-3390

    Fax: (940) 764-3391

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,387.

Total Amount is formed as General ($1,387) + Research ($0) + Ownership ($0) = $1,387.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($498).

Total Amount

$1,387

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-01

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
I20190701001269ICertified Registered Nurse Anesthetist (Crna)COTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope116116$0
00812Anesthesia for exam of colon using an endoscope5656$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2928$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 76308)

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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: 6002072055View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCO
-CO
-CO
-CO
-CO
-CO
A N E S T H E S I O L O G YCO
-CO
A N E S T H E S I O L O G YCOLORADO
A N E S T H E S I O L O G YOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. THEODORE DAVID JR. HAYNES (CRNA)?
MR. THEODORE DAVID JR. HAYNES (CRNA) — NPI 1144294158 — is the standard way to identify this listing.
Can I rely on MR. THEODORE DAVID JR. HAYNES (CRNA) being an active provider?
As of the registry snapshot, MR. THEODORE DAVID JR. HAYNES (CRNA) is marked active.
What is MR. THEODORE DAVID JR. HAYNES (CRNA) best known for clinically?
Directory data describes MR. THEODORE DAVID JR. HAYNES (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MR. THEODORE DAVID JR. HAYNES (CRNA) list a practice location?
Patients near Wichita Falls, Texas may find MR. THEODORE DAVID JR. HAYNES (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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