HALDEN H FORD (M.D.) – Dermatology Physician, NPI 1396747846

HALDEN H FORD (M.D.) is a healthcare provider. based in Benton, Kentucky. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 32680 (KY). The NPI Number for HALDEN H FORD (M.D.) is 1396747846

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
HALDEN H FORD (M.D.)
NPI
1396747846
Phone
(270) 444-8477
Address
619 Old Symsonia Rd Bldg 3
Enumeration Date
15 August 2005
Last Update Date
20 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2704448477
Graduation Year
1992 (34 years ago)
PAC ID
1759276603
Group Practice PAC ID
0840274981
Professional Enrollment ID
I20040513000394
Address ID
KY420034584PA3101XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

166 DERMATOLOGY in KY

Provider Addresses for HALDEN H FORD (M.D.)

  • 619 Old Symsonia Rd Bldg 3

    Benton, KY 420255094

    Phone: (270) 444-8477

    Fax: (270) 444-8479

    Type: Location

  • 105 Highway 431

    Martin, TN 382378264

    Phone: (270) 444-8477

    Fax: (270) 444-8479

    Type: Location

  • 2601, Kentucky Avenue, Paducah, McCracken County, Kentucky, 42003, United States

    SUITE 402

    PADUCAH, KY 420033817

    Phone: (270) 444-8477

    Fax: (270) 444-8479

    Type: Mailing

  • 3101, Parisa Drive, Paducah, McCracken County, Kentucky, 42003, United States

    PADUCAH, KY 420034584

    Phone: (270) 444-8477

    Fax: (270) 444-8479

    Type: Location

  • 3101 PARISA DR

    PADUCAH, KY 420034584

    Phone: (270) 444-8477

    Fax: (270) 444-8479

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $3,089.

Total Amount is formed as General ($3,089) + Research ($0) + Ownership ($0) = $3,089.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($473).

Total Amount

$3,089

General + Research + Ownership

Payments

166

Total payment records

General Amount

$3,089

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-05-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040513000394IDermatologyKYTBD
I20200504001697IDermatologyTNTBD

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
J3245Injection, tildrakizumab, 1 mg9,30030$0
17003Destruction of precancer skin growth, 2-14 growths2,361622$0
99213Established patient office or other outpatient visit, 20-29 minutes1,4361,230$0
17000Destruction of precancer skin growth, 1 growth1,117971$0
88305Pathology examination of tissue using a microscope, intermediate complexity567440$0
View full utilization report →

Insurance plans in this area (ZIP 42025)

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Provider's Procedures

HALDEN H FORD (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYKY17003Destruction of 2-14 skin growths1656457

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: 0840274981View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
-KY
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do I look up HALDEN H FORD (M.D.) by NPI?
Use NPI 1396747846 when you need to reference HALDEN H FORD (M.D.) in forms, claims, or directories.
Does this profile mean HALDEN H FORD (M.D.) is currently active?
Yes — HALDEN H FORD (M.D.) appears active in the national provider directory.
What kind of provider is HALDEN H FORD (M.D.)?
The page reflects Dermatology Physician for HALDEN H FORD (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for HALDEN H FORD (M.D.)?
We surface Benton, Kentucky for HALDEN H FORD (M.D.) based on available NPPES addresses.
Is HALDEN H FORD (M.D.) a real provider?
This page reflects official NPPES data for NPI 1396747846. Always confirm identity and privileges with the practice and licensing boards.

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