DR. MARK ALLEN HAGGENJOS (D.O.) – Family Medicine Physician, NPI 1619935475
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for DR. MARK ALLEN HAGGENJOS (D.O.)
428, West Votaw Street, Portland, Jay County, Indiana, 47371, United States
SUITE A
PORTLAND, IN 473710710
Phone: (260) 726-8822
Fax: (260) 726-7857
Type: Location
1200 W WHITE RIVER BLVD
MUNCIE, IN 473034988
Phone: (877) 668-5621
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($60).
Total Amount
$285
General + Research + Ownership
Payments
15
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-04-27
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 |
|---|---|---|---|---|
| I20050427001316 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 133 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 67 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 39 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 25 | 23 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 22 | 21 | $0 |
Insurance plans in this area (ZIP 47371)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | ID | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| Internal Medicine | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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