DR. NATHANIEL L HADDOCK (M.D.) – Internal Medicine Physician, NPI 1659397065

DR. NATHANIEL L HADDOCK (M.D.) is a healthcare provider. based in Juneau, Alaska. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4177 (AK). The NPI Number for DR. NATHANIEL L HADDOCK (M.D.) is 1659397065

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHANIEL L HADDOCK (M.D.)
NPI
1659397065
Phone
(907) 789-2910
Address
10301 GLACIER HWY
Enumeration Date
15 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9077892910
Graduation Year
1997 (29 years ago)
PAC ID
3678523503
Group Practice PAC ID
0941790539
Professional Enrollment ID
I20050222001042
Address ID
AK998018565JU10301HWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

234 INTERNAL MEDICINE in AK

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Provider Addresses for DR. NATHANIEL L HADDOCK (M.D.)

  • Glacier Highway, Juneau, Alaska, 99802, United States

    JUNEAU, AK 998018561

    Phone: (907) 789-2910

    Fax: (907) 789-5545

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $842.

Total Amount is formed as General ($842) + Research ($0) + Ownership ($0) = $842.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($274).

Total Amount

$842

General + Research + Ownership

Payments

38

Total payment records

General Amount

$842

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2005-02-22

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
I20050222001042IInternal MedicineAKTBD

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
80053Blood test, comprehensive group of blood chemicals556366$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count531370$0
99215Established patient office or other outpatient visit, 40-54 minutes522264$0
99214Established patient office or other outpatient visit, 30-39 minutes458307$0
83735Magnesium level302258$0
View full utilization report →

Insurance plans in this area (ZIP 99801)

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Provider's Procedures

DR. NATHANIEL L HADDOCK (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAK83036Hemoglobin A1C level162120

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: 0941790539View full group profile
NameSpecialtyState
Internal MedicineAK
Family PracticeAK
Nurse PractitionerAK

Reviews

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Frequently asked questions

What unique ID ties claims to DR. NATHANIEL L HADDOCK (M.D.)?
NPI 1659397065 is assigned to DR. NATHANIEL L HADDOCK (M.D.) under the national enumeration system.
Is DR. NATHANIEL L HADDOCK (M.D.) active in the national directory?
DR. NATHANIEL L HADDOCK (M.D.)'s public NPI profile is in an active state.
What field does DR. NATHANIEL L HADDOCK (M.D.) work in?
You can think of DR. NATHANIEL L HADDOCK (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. NATHANIEL L HADDOCK (M.D.)?
The snapshot lists Juneau, Alaska for DR. NATHANIEL L HADDOCK (M.D.); download NPPES for the complete set.
Is DR. NATHANIEL L HADDOCK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1659397065. Always confirm identity and privileges with the practice and licensing boards.

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