DR. KENNETH H. HALLER (DO) – Sports Medicine (Family Medicine) Physician, NPI 1295741197
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
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Provider Addresses for DR. KENNETH H. HALLER (DO)
3600 W BETHEL AVE
MUNCIE, IN 473045407
Phone:
Type: Mailing
Muncie Post Office, Kaw Drive, Muncie, Kansas City, Wyandotte County, Kansas, 66112, United States
MUNCIE, IN 473081643
Phone: (765) 284-7738
Fax: (765) 213-3713
Type: Mailing
3600, West Bethel Avenue, Andersonville, Muncie, Delaware County, Indiana, 47304, United States
MUNCIE, IN 473045407
Phone: (765) 284-7738
Fax: (765) 213-3713
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: 2010-01-20
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 |
|---|---|---|---|---|
| I20100120000548 | I | Family Practice | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 510 | 133 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 209 | 209 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 169 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 115 | $0 |
Insurance plans in this area (ZIP 47304)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN |
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