DR. HAORAN PENG (MD, PHD) – Gastroenterology Physician, NPI 1851745061

DR. HAORAN PENG (MD, PHD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials MD, PHD. They hold a License No. 85259 (GA). The NPI Number for DR. HAORAN PENG (MD, PHD) is 1851745061

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAORAN PENG (MD, PHD)
NPI
1851745061
Phone
Not provided
Address
PO BOX 1190
Enumeration Date
14 April 2016
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4044400600
Graduation Year
2009 (17 years ago)
PAC ID
3173815057
Group Practice PAC ID
6204136583
Professional Enrollment ID
I20230501002128
Address ID
GA300407135CU4150XRDXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

525 GASTROENTEROLOGY in GA

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Provider Addresses for DR. HAORAN PENG (MD, PHD)

  • PO BOX 1190

    LAWRENCEVILLE, GA 300461190

    Phone:

    Type: Mailing

  • 665, Duluth Highway, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 401

    LAWRENCEVILLE, GA 300468709

    Phone: (678) 312-0450

    Type: Location

  • 302 POINT NORTH PL

    DALTON, GA 307202644

    Phone: (706) 272-4127

    Fax: (706) 279-3969

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $2,863.

Total Amount is formed as General ($2,863) + Research ($0) + Ownership ($0) = $2,863.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Wilson Cook Medical Incorporated ($934).

Total Amount

$2,863

General + Research + Ownership

Payments

71

Total payment records

General Amount

$2,863

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2023-05-01

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
I20230501002128IGastroenterologyGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8962$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4946$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare4747$0
45380Biopsy of large bowel using a flexible endoscope3232$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 6204136583View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YGA
Gastroenterology, Internal MedicineGA
-GA
Gastroenterology, Internal MedicineGA
Internal Medicine, GastroenterologyGA
P A T H O L O G YUT

Reviews

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Frequently asked questions

Can I verify DR. HAORAN PENG (MD, PHD) with an NPI only?
You can start verification with NPI 1851745061 for DR. HAORAN PENG (MD, PHD), then check state licensing separately.
Is DR. HAORAN PENG (MD, PHD) still practicing?
DR. HAORAN PENG (MD, PHD) is currently listed as active in the public NPI registry.
What is DR. HAORAN PENG (MD, PHD) best known for clinically?
Directory data describes DR. HAORAN PENG (MD, PHD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. HAORAN PENG (MD, PHD) based?
DR. HAORAN PENG (MD, PHD) is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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