JOHN R. HATZENBUEHLER (MD) – Family Medicine Physician, NPI 1699844365

JOHN R. HATZENBUEHLER (MD) is a healthcare provider. based in South portland, Maine. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD17466 (ME). The NPI Number for JOHN R. HATZENBUEHLER (MD) is 1699844365

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN R. HATZENBUEHLER (MD)
NPI
1699844365
Phone
(207) 523-8500
Address
100 FODEN RD, EAST
Enumeration Date
7 November 2006
Last Update Date
29 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2087252171
Graduation Year
2004 (22 years ago)
PAC ID
5395819627
Group Practice PAC ID
3173783818
Professional Enrollment ID
I20170719003637
Address ID
ID833409998KE191XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

886 FAMILY PRACTICE in ME

Provider Addresses for JOHN R. HATZENBUEHLER (MD)

  • 100 FODEN RD, EAST

    SUITE 200

    SOUTH PORTLAND, ME 04106

    Phone: (207) 523-8500

    Fax: (207) 523-8591

    Type: Location

  • 100, Gannett Drive, South Portland, Cumberland County, Maine, 04106, United States

    SUITE C

    SOUTH PORTLAND, ME 04106

    Phone: (207) 828-0361

    Fax: (207) 874-1483

    Type: Mailing

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: 2017-07-19

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
I20170719003637IFamily PracticeIDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes253179$0
99214Established patient office or other outpatient visit, 30-39 minutes215139$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance9877$0
20610Aspiration and/or injection of fluid from large joint7255$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3017$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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Provider's Procedures

JOHN R. HATZENBUEHLER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEME20610Aspiration and/or injection of large joint or joint capsule6152

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: 3173783818View full group profile
NameSpecialtyState
Family PracticeID
Family PracticeID
Cardiovascular Disease (Cardiology)MN
Family PracticeID
-NM
O B S T E T R I C S/ G Y N E C O L O G YID
Physician AssistantID
P S Y C H I A T R YID
Gastroenterology, Internal Medicine, Family PracticeMT
Family PracticeID

Reviews

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Frequently asked questions

Does JOHN R. HATZENBUEHLER (MD) have a public NPI I can cite?
Public records show JOHN R. HATZENBUEHLER (MD) under NPI 1699844365.
Does the public listing show JOHN R. HATZENBUEHLER (MD) as active?
JOHN R. HATZENBUEHLER (MD)'s NPI record reflects an active status in NPPES.
What services align with JOHN R. HATZENBUEHLER (MD)'s listing?
JOHN R. HATZENBUEHLER (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN R. HATZENBUEHLER (MD)?
JOHN R. HATZENBUEHLER (MD) is associated with South Portland, Maine in the same public data insurers reference.
Why is information missing for JOHN R. HATZENBUEHLER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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