NPI registry status
Active
2026 NPPES data Pediatric Dermatology Physician NPI 1003963976 MD, PHD
Verify on CMS → Benjamin Hayes, MD, PHD
Pediatric Dermatology Physician in Spring Hill, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 238 in Pediatric Dermatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
891
Medicare Part D claims · 397 beneficiaries · Pediatric Dermatology Physician avg: 553
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$1.7K
91 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Benjamin Hayes, MD, PHD reported a CMS MIPS final score of 76.7/100 - below the 83.5 national average - and filed 891 Medicare Part D claims in 2024.
- 76.7/100
- MIPS score · -7 vs avg
- 891
- Part D claims, 2024
- 84%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Benjamin Hayes, MD, PHD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1003963976), first enumerated 01/04/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 891 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.7K in reported industry payments (91 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
Compare Hayes with other Pediatric Dermatology Physician providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Tennessee
- Dr. Lorin Bibb, MD Nashville, TN
- Dr. Carla Lee, MD Nashville, TN
- Dr. Crystal Pourciau, M.D. Memphis, TN
- Dr. Christopher Robb, MD Spring Hill, TN
- Dr. Teresa Wright, M.D. Memphis, TN
Other specialties in Spring Hill: Physical Therapist (55) · Speech-Language Pathologist (41) · Behavior Technician (39) · Pharmacist (29)
CMS NPPES provider registry desk
NPI 1003963976 · Pediatric Dermatology Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1003963976
- ENUM-MID 2007
- TAX-TRACE 238
- MIPS-BELOW 76.7/100
- RX-LIGHT 891
- BOOK-THIN 6 in Tennessee
- PHOTO-FINISH Jinia El Feghaly, MD · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Carol Cheng, M.D…
Carol Cheng, M.D.
76.2 MIPS pts
- Danielle Brown, …
Danielle Brown, MD
76.4 MIPS pts
- Hayes · this pro…
Hayes · this provider
76.7 MIPS pts
- Jinia El Feghaly…
Jinia El Feghaly, MD
76.8 MIPS pts
- Craig Rohan, MD …
Craig Rohan, MD
77 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Benjamin Hayes, MD, PHD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Benjamin Hayes, MD, PHD sits
This provider among pediatric dermatology physician peers
Across the 52 pediatric dermatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Benjamin Hayes, MD, PHD writes more Part D claims than 77% of them and scores higher on MIPS quality than 21% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric dermatology physician peer from a representative sample of 51; the gold marker is Benjamin Hayes, MD, PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Benjamin Hayes, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Benjamin Hayes, MD, PHD?
Below national averagePrimary specialty
Pediatric Dermatology Physician
Medicare Part D claims
891 61% vs specialty avg
MIPS final score
76.7/100 6.8 pts vs avg
Specialty distribution in Tennessee
How Pediatric Dermatology Physician compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Benjamin Hayes, MD, PHD's 2023 MIPS final score plotted against the Pediatric Dermatology Physician national average
- MIPS Final Score
- 76.7/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1003963976 |
|---|---|
| Specialty | Pediatric Dermatology Physician |
| Credentials | MD, PHD |
| Gender | Male |
| NPI Issued | 01/04/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.7434
Final Score
Measured-score avg: 83.5
79.0893
Quality
50.359
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Benjamin Hayes, MD, PHD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Spring Hill Dermatology PLC
Columbia, TN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Benjamin Hayes, MD, PHD. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Benjamin Hayes, MD, PHD - brand share 16.0%
Pediatric Dermatology Physician average
16% brand-name claims vs 84% generic, on 891 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
891
Total Claims
$940K
Total Drug Cost
397
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,159.633
- Total Day Supply
- 32,032
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $907K
- Generic Drug Cost
- $33K
- Antibiotic Claims
- 74
Patient Demographics
- Average Patient Age
- 75.4 years
- Avg HCC Risk Score
- 1.00
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 11, 65-74: 189, 75-84: 144, 85+: 53
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Benjamin Hayes, MD, PHD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluorouracil
Fluorouracil
75 claims
- Mupirocin
Mupirocin
75 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
72 claims
- Clobetasol Propion…
Clobetasol Propionate
55 claims
- Doxycycline Hyclate
Doxycycline Hyclate
48 claims
- Ketoconazole
Ketoconazole
36 claims
- Clindamycin Phosph…
Clindamycin Phosphate
33 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
33 claims
| Drug | Claims |
|---|---|
| Fluorouracil | 75 |
| Mupirocin | 75 |
| Triamcinolone Acetonide | 72 |
| Clobetasol Propionate | 55 |
| Doxycycline Hyclate | 48 |
| Ketoconazole | 36 |
| Clindamycin Phosphate | 33 |
| Hydroxychloroquine Sulfate | 33 |
| Metronidazole | 32 |
| Dupixent Pen Dupilumab | 28 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Dermatology Physician Overview
How Benjamin Hayes, MD, PHD fits within the Pediatric Dermatology Physician landscape nationally.
238
Pediatric Dermatology Physician Providers in US
41
States with Pediatric Dermatology Physician
553
Avg Claims per Provider
Benjamin Hayes, MD, PHD's 891 claims are above the specialty average of 553.
Nationwide Pediatric Dermatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Hayes, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76.7 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Frequently Asked Questions
What is Benjamin Hayes, MD, PHD's specialty? ▼
Benjamin Hayes, MD, PHD specializes in Pediatric Dermatology Physician and practices in Spring Hill, Tennessee. Credentials: MD, PHD.
How much does Benjamin Hayes, MD, PHD prescribe under Medicare Part D? ▼
In 2024, Benjamin Hayes, MD, PHD wrote 891 Medicare Part D claims totaling $940K in drug costs for 397 beneficiaries.
What is Benjamin Hayes, MD, PHD's Medicare quality score? ▼
Benjamin Hayes, MD, PHD has a CMS MIPS Final Score of 76.7/100 (Quality: 79.1, Cost: 50.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Benjamin Hayes, MD, PHD located? ▼
Benjamin Hayes, MD, PHD is located at 3098 CAMPBELL STATION PKWY STE A201, Spring Hill, TN, 37174. Phone: (615) 302-5000.
What is Benjamin Hayes, MD, PHD's NPI number? ▼
Benjamin Hayes, MD, PHD's National Provider Identifier (NPI) is 1003963976, issued on 01/04/2007.
Does Benjamin Hayes, MD, PHD prescribe more brand-name or generic drugs? ▼
Benjamin Hayes, MD, PHD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $907K in brand drug costs.
How many Pediatric Dermatology Physician providers are there in the US? ▼
There are 238 Pediatric Dermatology Physician providers across 41 states in the US. The average Pediatric Dermatology Physician provider writes 553 Medicare Part D claims per year.
What drugs does Benjamin Hayes, MD, PHD prescribe most often? ▼
Based on 2024 Medicare Part D data, Benjamin Hayes, MD, PHD's most frequently prescribed drugs include Fluorouracil, Mupirocin, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Benjamin Hayes, MD, PHD accept Medicare? ▼
Benjamin Hayes, MD, PHD appears in CMS Medicare data with 891 Part D claims and 397 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Benjamin Hayes, MD, PHD's credentials? ▼
Benjamin Hayes, MD, PHD's NPI is 1003963976 with credentials MD, PHD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.