CAYLON W. HAGGARD (PA-C) – Physician Assistant, NPI 1902042765
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for CAYLON W. HAGGARD (PA-C)
607 W Main St
Grangeville, ID 835301345
Phone: (208) 983-1700
Type: Location
315 N 14th Ave
Othello, WA 993441297
Phone: (509) 488-2636
Type: Location
200 Nat Washington Way
Ephrata, WA 988231997
Phone: (509) 754-4631
Type: Location
817 Commercial St
Leavenworth, WA 988261316
Phone: (509) 548-5815
Type: Location
502 E Amende Dr
Odessa, WA 991597003
Phone: (509) 982-2611
Type: Location
1000 Kingfisher Regional Hospital Drive
Kingfisher, OK 737505002
Phone: (405) 375-7847
Type: Location
14321 NE 23rd St
Choctaw, OK 730208624
Phone: (405) 342-0255
Fax: (405) 610-6960
Type: Location
411 Fortuyn Rd
Grand Coulee, WA 991338718
Phone: (509) 633-1911
Fax: (509) 633-1933
Type: Location
411, Fortuyn Road, Grand Coulee, Grant County, Washington, 99133, United States
GRAND COULEE, WA 991338718
Phone: (509) 633-1911
Fax: (509) 633-1933
Type: Location
903 S ADAMS ST
RITZVILLE, WA 991692227
Phone: (096) 591-2005
Fax: (509) 659-0632
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: 2025-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200630002797 | I | Physician Assistant | WA | TBD |
| I20250213001091 | 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 83530)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | WA | |
| Physical Therapist In Private Practice | WA | |
| Physician Assistant | WA | |
| Diagnostic Radiology | WA | |
| Physical Therapist In Private Practice | WA | |
| Qualified Speech Language Pathologist | OK | |
| Occupational Therapist In Private Practice | CA | |
| Physician Assistant | FL | |
| Diagnostic Radiology | WA |
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