MICHELLE SPIES HAGGERTY (MD) – Family Medicine Physician, NPI 1154689578
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
Provider Addresses for MICHELLE SPIES HAGGERTY (MD)
1313 PENN AVE N
MINNEAPOLIS, MN 554113047
Phone: (612) 543-2500
Type: Mailing
12105 29TH AVE N
PLYMOUTH, MN 554412955
Phone: (612) 424-2241
Type: Location
4801 15TH AVE S
MINNEAPOLIS, MN 554171126
Phone: (651) 424-2241
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $4,138.
Total Amount is formed as General ($4,138) + Research ($0) + Ownership ($0) = $4,138.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($4,138).
Total Amount
$4,138
General + Research + Ownership
Payments
7
Total payment records
General Amount
$4,138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $4,138 |
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: 2015-09-11
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 |
|---|---|---|---|---|
| I20150911000614 | I | Family Practice | MN | 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 55411)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MN | 83036 | Hemoglobin A1C level | 20 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Family Practice | FL | |
| Family Practice | CA | |
| Family Practice | PA | |
| Family Practice | GA | |
| Family Practice | AZ | |
| Emergency Medicine | GA | |
| Family Practice | CA | |
| Family Practice | MO | |
| Geriatric Medicine, Family Practice | TX |
Reviews
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