NPPES file of Aug 9, 2026

Nathan C. Hayes, DO

Family Medicine Physician · Algoma, WI

Nathan C. Hayes, DO is a family medicine physician with a practice address in Algoma, Wisconsin, and NPI 1104949387, issued on Apr 10, 2007. Check the license (Wisconsin 52571, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104949387
Name
Nathan C. Hayes
Credential
DO
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
52571 WI
Self-reported in NPPES; status is on the state search
Practice location
815 Jefferson St, Algoma, WI 54201
Phone
(920) 487-3496
Enumerated
Apr 10, 2007
Record last updated
Sep 19, 2013 (not updated in 13 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20110215000320); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 815 Jefferson St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Allycia Bretl, LCSW, SAC-ITClinical Social Worker1871106492
  2. Ellen Knipfer, MSN, RN, FNP-BCFamily Nurse Practitioner1144629114
  3. Cynthia Laluzerne, APNPFamily Nurse Practitioner1063091171
  4. Ralph Nelson, D.O.Internal Medicine Physician1841209178

Verify Nathan C. Hayes in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 52571
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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14% fewer Medicare Part D claims than the average family medicine physician in 2024

3,057 Medicare Part D claims for 249 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 137 claims were for opioids.

  1. Nathan Hayes3,057
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium165 claims
  2. Amlodipine Besylate139 claims
  3. Omeprazole113 claims
  4. Rosuvastatin Calcium112 claims
  5. Irbesartan102 claims
  6. Levothyroxine Sodium69 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 80.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costout of 100 · 30%49.8
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Group Health Cooperative OF South Central WisconsinFitchburg, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nathan C. Hayes among 3,765 family medicine physician records in Wisconsin

Nathan C. Hayes, DO is one of 3,765 family medicine physician records with a practice address in Wisconsin. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 54% of them.

  • NPI issued2007 · 54% of these records are older, 41% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2007 · median 2007 among the 2,347 with a school on file
  • Record last updated2013 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 family medicine physician record lists a practice address in Algoma

They are 1 of the 31 NPPES records with a practice address in Algoma, and 3,765 family medicine physician records in Wisconsin.

The 8 family medicine physician records with the nearest ZIP codes

  1. Bradley Wozney, MDDenmark, WI 542081225013675
  2. James Lewis, M.D.Fish Creek, WI 542121326057639
  3. Allan Olson, MDKewaunee, WI 542161851667265
  4. Paul Smullen, MDKewaunee, WI 542161033234406
  5. Thomas Zenner, MDKewaunee, WI 542161366427502
  6. Rey Anthony Garibay, MDLuxemburg, WI 542171104180504
  7. Kristen Powell, M.D.Luxemburg, WI 542171649282518
  8. Jeffrey Allen, MDManitowoc, WI 542201962410514

Common questions

What is Nathan C. Hayes, DO's NPI number?

Nathan C. Hayes, DO's National Provider Identifier (NPI) is 1104949387, issued on Apr 10, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Nathan C. Hayes, DO located?

The NPPES record lists a practice address at 815 Jefferson St, Algoma, WI, 54201. Phone: (920) 487-3496. Providers update this record themselves, so call before visiting.

How can I verify Nathan C. Hayes, DO's license?

NPPES lists Wisconsin license number 52571, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nathan C. Hayes, DO prescribe under Medicare Part D?

In 2024, Nathan C. Hayes, DO had 3,057 Medicare Part D claims for 249 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Nathan C. Hayes, DO's MIPS final score?

The 2023 MIPS final score is 80.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.