Hayley James, M.D.
NPI 1356882542 · Retina Specialist (Ophthalmology) Physician · Charlottesville, VA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hayley James, M.D. is a Retina Specialist (Ophthalmology) Physician provider in Charlottesville, VA (NPI 1356882542).
Provider details
- NPI number
- 1356882542
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 55571 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,284 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Imaging of Retina92134 | 1,307 | $41 |
| Extended Exam of the Back Part of the Eye With Optic Nerve Drawing92202 | 843 | $16 |
| Injection of Drug Into Eye67028 | 674 | $119 |
| Established Patient Complete Exam of Visual System92014 | 386 | $129 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 262 | $93 |
| New Patient Complete Exam of Visual System92004 | 174 | $152 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 107 | 77 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 35 | 22 |
| Latanoprost | 24 | — |
| Brimonidine Tartrate | 19 | — |
| Difluprednate | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$333 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1001 Research Park Blvd Ste 420Charlottesville, VA 22911-5848Phone: (434) 474-2020Fax: (434) 474-2021
- 663 Lifecore DrFishersville, VA 22939-2368Phone: (540) 949-9080Fax: (434) 978-2041
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Frequently asked questions
- What is Hayley James's NPI number?
- Hayley James's National Provider Identifier (NPI) is 1356882542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hayley James's specialty?
- Hayley James is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Hayley James located?
- Hayley James's practice location on file with NPPES is 600 Peter Jefferson Pkwy Ste 350, Charlottesville, VA 22911-8836.
- What is Hayley James's phone number?
- The practice phone number listed in the NPPES registry for Hayley James is (434) 978-2040.
- Does Hayley James accept Medicare?
- Hayley James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hayley James's NPI active?
- Yes — Hayley James's NPI (1356882542) is active in the NPPES registry as of the last update on 2025-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.