TRAVIS JEFFREY HALLER (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1962027482
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Provider Addresses for TRAVIS JEFFREY HALLER (MD)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Location
200 1ST ST SW BLDG 12TH
ROCHESTER, MN 559050002
Phone: (507) 284-3856
Type: Location
460 W 10th Ave Fl 5
Columbus, OH 432101240
Phone: (614) 293-8074
Fax: (614) 293-3193
Type: Location
PO BOX 860912
MINNEAPOLIS, MN 554860912
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Integra LifeSciences Corporation ($216).
Total Amount
$216
General + Research + Ownership
Payments
2
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $216 |
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: 2025-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210903000467 | I | Otolaryngology | MN | TBD |
| I20250716002398 | I | Otolaryngology | OH | 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 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Qualified Audiologist | OH | |
| Nurse Practitioner | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| - | TX | |
| Physician Assistant | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| - | OH | |
| Qualified Audiologist | OH | |
| - | OH |
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