DR. CHARLES MICHAEL HALDERMAN (D.O.) – Anesthesiology Physician, NPI 1750318804
Anesthesiology Physician
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NPPES metrics only — not quality of care.
969 ANESTHESIOLOGY in MN
Provider Addresses for DR. CHARLES MICHAEL HALDERMAN (D.O.)
49725 County 83
Lakewood Health System
Staples, MN 56479
Phone: (218) 894-8839
Fax: (816) 235-6629
Type: Location
1800 HAMPSHIRE AVE
SAINT PAUL, MN 551162478
Phone: (320) 292-9931
Type: Mailing
83, Staples Ridge Road, Swans Island, Hancock County, Maine, 04685, United States
LAKEWOOD HEALTH SYSTEM
STAPLES, MN 56479
Phone: (218) 894-8839
Fax: (816) 235-6629
Type: Location
6263, 19th Street North, Saint Cloud, Stearns County, Minnesota, 56303, United States
SAINT CLOUD, MN 563034888
Phone: (320) 298-2993
Fax: (218) 894-8839
Type: Mailing
1025 MARSH ST
MANKATO, MN 560014752
Phone: (507) 625-4031
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: 2018-08-03
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090915000385 | I | Anesthesiology | MN | TBD |
| I20140328000582 | I | Anesthesiology | WI | TBD |
| I20180803001616 | I | Anesthesiology | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00790 | Anesthesia for other procedure on upper abdomen | 23 | 23 | $0 |
| 00410 | Anesthesia for procedure to correct abnormal heart rhythm | 19 | 18 | $0 |
| 01480 | Anesthesia for other procedure on lower leg, ankle, and foot bones | 14 | 13 | $0 |
| 00918 | Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope | 13 | 13 | $0 |
| 01214 | Anesthesia for total hip replacement | 11 | 11 | $0 |
Insurance plans in this area (ZIP 56479)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | MN | |
| Internal Medicine | ONTARIO | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | AR |
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