LINCOLN DAVID HIATT (MD) – Family Medicine Physician, NPI 1174147342

LINCOLN DAVID HIATT (MD) is a healthcare provider. based in Snowflake, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2019032609 (MO). The NPI Number for LINCOLN DAVID HIATT (MD) is 1174147342

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
LINCOLN DAVID HIATT (MD)
NPI
1174147342
Phone
(928) 536-7519
Address
590 S MAIN ST
Enumeration Date
3 June 2020
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9285367519
Graduation Year
2017 (9 years ago)
PAC ID
9537607791
Group Practice PAC ID
8729205737
Professional Enrollment ID
I20240819003290
Address ID
AZ859375228SN590XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:6State licenses:3Digital endpointsOther names

1,002 FAMILY PRACTICE in NM

Provider Addresses for LINCOLN DAVID HIATT (MD)

  • 590 S MAIN ST

    SNOWFLAKE, AZ 859375228

    Phone: (928) 536-7519

    Fax: (928) 536-7305

    Type: Mailing

  • 2450 S TELSHOR BLVD

    LAS CRUCES, NM 880115069

    Phone: (575) 521-5385

    Fax: (575) 521-5568

    Type: Location

  • 13013 FULLER AVE STE A

    GRANDVIEW, MO 640302687

    Phone: (816) 214-5548

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: PFIZER INC. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$25
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: 2024-08-19

PECOS data refreshed: 2026-06-15

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
I20240819003290IFamily PracticeAZTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85937)

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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: 8729205737View full group profile

Reviews

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Frequently asked questions

What is the registry number for LINCOLN DAVID HIATT (MD)?
The registry entry for LINCOLN DAVID HIATT (MD) shows NPI 1174147342.
Does the public listing show LINCOLN DAVID HIATT (MD) as active?
LINCOLN DAVID HIATT (MD)'s NPI record reflects an active status in NPPES.
What services align with LINCOLN DAVID HIATT (MD)'s listing?
LINCOLN DAVID HIATT (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LINCOLN DAVID HIATT (MD)?
LINCOLN DAVID HIATT (MD) shows a connection to Snowflake, Arizona in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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