MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1710496997

MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) is a healthcare provider. based in Challis, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. The NPI Number for MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) is 1710496997

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT)
NPI
1710496997
Phone
(208) 879-4351
Address
PO BOX 980
Enumeration Date
20 September 2017
Last Update Date
1 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
6709147051
Group Practice PAC ID
2769779776
Professional Enrollment ID
I20180228002395
Address ID
ID832260980CHPOXXXBOXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

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Provider Addresses for MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT)

  • PO BOX 980

    CHALLIS, ID 832260980

    Phone: (208) 879-4351

    Fax: (208) 879-5216

    Type: Mailing

  • Clinic Road, Challis, Custer County, Idaho, 82236, United States

    CHALLIS, ID 832264824

    Phone: (208) 879-4351

    Fax: (208) 879-5216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-02-28

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
I20180228002395IPhysician AssistantIDTBD

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
81002Urinalysis, manual test2924$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing2827$0
83036Hemoglobin a1c level2318$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1716$0
87804Detection test by immunoassay with direct visual observation for influenza virus1312$0
View full utilization report →

Insurance plans in this area (ZIP 83226)

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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: 2769779776View full group profile
NameSpecialtyState
Clinical Social WorkerID
Physician AssistantID
Physician AssistantID
Physician AssistantID
Mental Health CounselorID

Reviews

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Frequently asked questions

What unique ID ties claims to MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT)?
NPI 1710496997 is assigned to MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) under the national enumeration system.
Is MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT)'s NPI currently valid?
The extract we use shows MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) as active.
Does MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) list a primary specialty?
If you are matching referrals, note Physician Assistant for MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT). Clinical services aligned with this taxonomy classification.
Does MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) practice in Idaho?
You will see Challis, Idaho on file for MILES ALAN HAEBERLE (PHYSICIAN ASSISTANT) alongside any extra practice locations.
What if Challis, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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