DR. STANLEY HAHN (MD) – Surgery Physician, NPI 1619977758
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
Provider Addresses for DR. STANLEY HAHN (MD)
1100 N Kentucky Ave
West Plains, MO 657752029
Phone: (417) 256-9111
Type: Location
2605, Kentucky Avenue, Paducah, McCracken County, Kentucky, 42003, United States
SUITE 306
PADUCAH, KY 420033800
Phone: (270) 415-7653
Fax: (270) 575-8359
Type: Mailing
2601, Kentucky Avenue, Paducah, McCracken County, Kentucky, 42003, United States
SUITE 102
PADUCAH, KY 420033817
Phone: (270) 575-8462
Fax: (270) 443-0235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20090803000443 | I | General Surgery | WI | TBD |
| I20120301000460 | I | General Surgery | IA | TBD |
| I20161130000840 | I | General Surgery | CA | TBD |
| I20230614003397 | I | General Surgery | MO | 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 65775)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | CA | |
| Internal Medicine | CA | |
| Family Practice, Obstetrics/Gynecology | CA | |
| Registered Dietitian Or Nutrition Professional | CA | |
| Family Practice | NY | |
| - | CA | |
| E N D O C R I N O L O G Y | GA | |
| Internal Medicine | CA | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Physician Assistant | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.