MILLIE MAE HATHAWAY (DO) – Family Medicine Physician, NPI 1043847627
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for MILLIE MAE HATHAWAY (DO)
1770 N ORANGE GROVE AVE
POMONA, CA 917673027
Phone:
Type: Mailing
1601 MONTE VISTA AVE STE 100
CLAREMONT, CA 917116601
Phone: (909) 630-7938
Fax: (909) 469-2118
Type: Location
1798 N Garey Ave
Pomona, CA 917672918
Phone: (909) 865-9500
Type: Location
1770 N Orange Grove Ave Ste 101
Pomona, CA 917673027
Phone: (909) 469-9494
Fax: (909) 469-2120
Type: Location
1770 N ORANGE GROVE AVE STE 101
POMONA, CA 917673027
Phone: (909) 469-9494
Fax: (909) 469-2120
Type: Mailing
1601 MONTE VISTA AVE STE 260
CLAREMONT, CA 917116604
Phone: (909) 630-7938
Fax: (909) 469-2118
Type: Mailing
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Organon LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $15 |
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: 2023-05-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230525002823 | I | Family Practice | CA | TBD |
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.
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 91767)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Family Practice, Geriatric Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| Family Practice, Hospice/Palliative Care | UT | |
| Family Practice, Sports Medicine | CA | |
| - | CA | |
| Family Practice, Geriatric Medicine | CA | |
| Family Practice | CA | |
| - | CA |
Reviews
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