CHARLES TATE HAYES (PA-C) – Physician Assistant, NPI 1710332945

CHARLES TATE HAYES (PA-C) is a healthcare provider. based in Fort worth, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA10607 (). The NPI Number for CHARLES TATE HAYES (PA-C) is 1710332945

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES TATE HAYES (PA-C)
NPI
1710332945
Phone
(817) 481-2121
Address
4501 Heritage Trace Parkway, Suite 101
Enumeration Date
25 April 2016
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174812121
Graduation Year
2016 (10 years ago)
PAC ID
2860788148
Group Practice PAC ID
2769448430
Professional Enrollment ID
I20160913001346

Contacts

Secure Messaging
chayes215432@CookChildrens.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

Provider Addresses for CHARLES TATE HAYES (PA-C)

  • 4501 Heritage Trace Parkway, Suite 101

    Fort Worth, TX 762448940

    Phone: (817) 481-2121

    Type: Location

  • 2535 Ira E Woods Ave

    Grapevine, TX 760513930

    Phone: (817) 481-2121

    Fax: (817) 488-4493

    Type: Location

  • 2535, Ira E Woods Avenue, Grapevine, Tarrant County, Texas, 76051, United States

    GRAPEVINE, TX 760513930

    Phone: (817) 481-2121

    Fax: (817) 488-4493

    Type: Location

  • PO BOX 733784

    DALLAS, TX 753733784

    Phone: (682) 885-6483

    Fax: (682) 885-3113

    Type: Mailing

  • 1500 COOPER ST

    FORT WORTH, TX 761042710

    Phone: (682) 885-4405

    Fax: (682) 885-4407

    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: 2016-09-13

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
I20160913001346IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes148121$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg13776$0
20550Injection into tendon or ligament6654$0
J1100Injection, dexamethasone sodium phosphate, 1 mg4722$0
20600Aspiration and/or injection of fluid from small joint2817$0
View full utilization report →

Insurance plans in this area (ZIP 76244)

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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: 2769448430View full group profile

Reviews

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Frequently asked questions

What is the standard ID for CHARLES TATE HAYES (PA-C) in the U.S.?
In the U.S., CHARLES TATE HAYES (PA-C) is identified by NPI 1710332945.
Should I treat CHARLES TATE HAYES (PA-C) as an active provider?
Patients and plans typically see CHARLES TATE HAYES (PA-C) as active in the national extract.
What services align with CHARLES TATE HAYES (PA-C)'s listing?
CHARLES TATE HAYES (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit CHARLES TATE HAYES (PA-C) in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for CHARLES TATE HAYES (PA-C), then verify phone and hours locally.
Why is information missing for CHARLES TATE HAYES (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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