EARL GREGORY HALEY (MD) – Family Medicine Physician, NPI 1205076544

EARL GREGORY HALEY (MD) is a healthcare provider. based in Pataskala, Ohio. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 35.097774 (OH). The NPI Number for EARL GREGORY HALEY (MD) is 1205076544

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
EARL GREGORY HALEY (MD)
NPI
1205076544
Phone
(740) 348-1915
Address
ONE HEALTHY PLACE
Enumeration Date
26 February 2009
Last Update Date
14 July 2023

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7406894404
Graduation Year
2008 (18 years ago)
PAC ID
4284894866
Group Practice PAC ID
4789596362
Professional Enrollment ID
I20120320000561
Address ID
OH431303372LA401XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for EARL GREGORY HALEY (MD)

  • ONE HEALTHY PLACE

    SUITE 102

    PATASKALA, OH 43062

    Phone: (740) 348-1915

    Fax: (740) 348-1916

    Type: Mailing

  • 2142 N Cove Blvd

    Toledo, OH 436063895

    Phone: (419) 291-4000

    Fax: (419) 479-6102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $8.

Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($8).

Total Amount

$8

General + Research + Ownership

Payments

1

Total payment records

General Amount

$8

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-03-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120320000561IHospitalistOHTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes380164$0
99239Hospital discharge day management, more than 30 minutes162160$0
99291Critical care, first 30-74 minutes9337$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7957$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7776$0
View full utilization report →

Insurance plans in this area (ZIP 43062)

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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: 4789596362View full group profile
NameSpecialtyState
Internal MedicineOH
Family PracticeOH
Physician AssistantOH
Physician AssistantOH
-OH
Pediatric Medicine, Internal MedicineOH
Physician AssistantOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is EARL GREGORY HALEY (MD)'s NPI number?
EARL GREGORY HALEY (MD)'s NPI is 1205076544 — the number used across U.S. healthcare to identify this provider.
Is EARL GREGORY HALEY (MD) still an active registrant?
EARL GREGORY HALEY (MD) carries an active NPI according to the public dataset.
What area of care is associated with EARL GREGORY HALEY (MD)?
EARL GREGORY HALEY (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is EARL GREGORY HALEY (MD) registered?
Use Pataskala, Ohio as the headline location for EARL GREGORY HALEY (MD) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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