MICHAEL RAY HASKELL (PA-C) – Medical Physician Assistant, NPI 1457794083
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for MICHAEL RAY HASKELL (PA-C)
120 EAST HOWARD AVENUE
TETON VALLEY HEALTH CARE
DRIGGS, ID 834225112
Phone: (208) 354-6352
Fax: (208) 354-3158
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 5 Open Payments records for all available years, with a total value of $259.
Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.
Last reported payment date: 2023-06-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($246).
Total Amount
$259
General + Research + Ownership
Payments
5
Total payment records
General Amount
$259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $246 |
| Vericel Corporation | $13 |
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: 2015-09-09
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 |
|---|---|---|---|---|
| I20150909002119 | I | Physician Assistant | ID | 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 83422)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ID | |
| - | ID | |
| Family Practice | ID | |
| H O S P I T A L I S T | AZ | |
| Physician Assistant | ID | |
| Physical Therapist In Private Practice | ID | |
| D E R M A T O L O G Y | ID | |
| - | UT | |
| Family Practice | ID | |
| Internal Medicine | ID |
Reviews
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