MS. SUSAN E HAGAN (M.D.) – Obstetrics & Gynecology Physician, NPI 1124139241
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
630 OBSTETRICS/GYNECOLOGY in KY
Provider Addresses for MS. SUSAN E HAGAN (M.D.)
1000 NEIGHBORHOOD PL
FAIRDALE, KY 401189697
Phone: (502) 361-2381
Fax: (502) 996-8309
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776351
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
Children's Hospital Foundation Building, 601, South Floyd Street, Louisville, Jefferson County, Kentucky, 40202, United States
SUITE 300
LOUISVILLE, KY 402021835
Phone: (502) 629-1515
Fax: (502) 629-1545
Type: Location
PO BOX 950244
LOUISVILLE, KY 402950244
Phone: (502) 953-4700
Fax: (502) 772-8189
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $548.
Total Amount is formed as General ($548) + Research ($0) + Ownership ($0) = $548.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($160).
Total Amount
$548
General + Research + Ownership
Payments
21
Total payment records
General Amount
$548
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
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: 2006-11-21
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 |
|---|---|---|---|---|
| I20061121000002 | I | Obstetrics/Gynecology | KY | 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 40118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | KY | |
| Family Practice | KY | |
| Family Practice | KY |
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