DR. PAUL FLAVIAN HAGGERTY (MD) – Internal Medicine Physician, NPI 1417044355
Internal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
Provider Addresses for DR. PAUL FLAVIAN HAGGERTY (MD)
4881 SUGAR MAPLE DR
88TH MDG/SGOMI
WPAFB, OH 454335529
Phone: (937) 257-9926
Fax: (937) 257-1529
Type: Mailing
4881 Sugar Maple Dr
88MDG/SGOMI
Wright Patterson AFB, OH 454335546
Phone: (937) 257-9926
Type: Location
6661 CLYO RD
CENTERVILLE, OH 454592702
Phone: (937) 425-4000
Fax: (937) 425-4002
Type: Mailing
6661, Clyo Road, Centerville, Montgomery County, Ohio, 45459, United States
CENTERVILLE, OH 454592702
Phone: (937) 425-4000
Fax: (937) 425-4002
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: 2020-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200113002690 | I | Internal Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 603 | 245 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 201 | 201 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 96 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 96 | 17 | $0 |
| G0008 | Administration of influenza virus vaccine | 56 | 55 | $0 |
Insurance plans in this area (ZIP 45433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH |
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