PAUL R HALLER (MD) – Emergency Medicine Physician, NPI 1487622890

PAUL R HALLER (MD) is a healthcare provider. based in Bloomington, Minnesota. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 29564 (MN). The NPI Number for PAUL R HALLER (MD) is 1487622890

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
PAUL R HALLER (MD)
NPI
1487622890
Phone
(952) 883-7172
Address
8100 34TH AVE S
Enumeration Date
10 March 2006
Last Update Date
21 October 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6514395330
Graduation Year
1984 (42 years ago)
PAC ID
8628042009
Group Practice PAC ID
1951210855
Professional Enrollment ID
I20070123000585
Address ID
MN550826605ST927XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

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Provider Addresses for PAUL R HALLER (MD)

  • 34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States

    MC21110Q

    BLOOMINGTON, MN 554251672

    Phone: (952) 883-7172

    Fax: (952) 883-5395

    Type: Mailing

  • Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States

    MC 11102F

    ST PAUL, MN 551012502

    Phone: (651) 254-3456

    Fax: (651) 254-5216

    Type: Location

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: 2021-02-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040823000175IEmergency MedicineWITBD
I20070123000585IEmergency MedicineMNTBD
I20210222000202IEmergency MedicineVITBD

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
99284Emergency department visit with moderate level of medical decision making3434$0
99283Emergency department visit with low level of medical decision making3029$0
99285Emergency department visit with high level of medical decision making2424$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 1951210855View full group profile
NameSpecialtyState
Emergency MedicineWI
Emergency MedicineMN
Emergency MedicineWI
Emergency MedicineMN
Emergency Medicine, Medical ToxicologyWI
Emergency MedicineMN
Emergency MedicineMN
Mental Health CounselorWY
Mental Health CounselorMN
Emergency MedicineMN

Reviews

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Frequently asked questions

What number should I use to identify PAUL R HALLER (MD) for billing?
Administrative and clinical systems typically use NPI 1487622890 for PAUL R HALLER (MD).
Is PAUL R HALLER (MD) currently accepting referrals based on NPI status?
Registry metadata lists PAUL R HALLER (MD) as active.
What services align with PAUL R HALLER (MD)'s listing?
PAUL R HALLER (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is PAUL R HALLER (MD) tied to Bloomington, Minnesota?
If you are local to Bloomington, Minnesota, PAUL R HALLER (MD) may be relevant to your search.
Why is information missing for PAUL R HALLER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.