DEVIN D HAERTLING (PA-C) – Physician Assistant, NPI 1144526963

DEVIN D HAERTLING (PA-C) is a healthcare provider. based in Mount vernon, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085003979 (IL). The NPI Number for DEVIN D HAERTLING (PA-C) is 1144526963

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DEVIN D HAERTLING (PA-C)
NPI
1144526963
Phone
(618) 242-3778
Address
4121 VETERANS MEMORIAL DR
Enumeration Date
27 January 2011
Last Update Date
27 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
2365624913
Group Practice PAC ID
6901705441
Professional Enrollment ID
I20110303000485
Address ID
IL628646262MT4121XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for DEVIN D HAERTLING (PA-C)

  • 4121 VETERANS MEMORIAL DR

    MOUNT VERNON, IL 628646262

    Phone: (618) 242-3778

    Fax: (618) 242-2551

    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 8 Open Payments records for all available years, with a total value of $820.

Total Amount is formed as General ($820) + Research ($0) + Ownership ($0) = $820.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($770).

Total Amount

$820

General + Research + Ownership

Payments

8

Total payment records

General Amount

$820

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-03-03

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
I20110303000485IPhysician AssistantILTBD

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
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg6,81678$0
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg2,91232$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,629227$0
20610Aspiration and/or injection of fluid from large joint654286$0
64640Destruction of peripheral nerve or branch600113$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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Provider's Procedures

DEVIN D HAERTLING (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIL27447Repair of knee joint7169
PHYSICIAN ASSISTANTIL73562X-ray of knee, 3 views8575

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: 6901705441View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Hand Surgery, Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Interventional Pain Management, AnesthesiologyIL

Reviews

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Frequently asked questions

What is DEVIN D HAERTLING (PA-C)'s NPI number?
DEVIN D HAERTLING (PA-C)'s NPI is 1144526963 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DEVIN D HAERTLING (PA-C)?
For scheduling context, DEVIN D HAERTLING (PA-C) is shown as active in the registry.
What area of care is associated with DEVIN D HAERTLING (PA-C)?
DEVIN D HAERTLING (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DEVIN D HAERTLING (PA-C)?
Travel planning: use Mount Vernon, Illinois as the reference point for DEVIN D HAERTLING (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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