ABIGAIL LEE HABERMAN (MD) – Dermatology Physician, NPI 1255401063

ABIGAIL LEE HABERMAN (MD) is a healthcare provider. based in Corvallis, Oregon. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD16039 (OR). The NPI Number for ABIGAIL LEE HABERMAN (MD) is 1255401063

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
ABIGAIL LEE HABERMAN (MD)
NPI
1255401063
Phone
(541) 754-2757
Address
690 NW CALLOWAY DR
Enumeration Date
9 November 2006
Last Update Date
14 September 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5417542757
Graduation Year
1988 (38 years ago)
PAC ID
3476715582
Professional Enrollment ID
I20120508000256
Address ID
OR973309598CO690XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

232 DERMATOLOGY in OR

Provider Addresses for ABIGAIL LEE HABERMAN (MD)

  • 690 NW CALLOWAY DR

    CORVALLIS, OR 973309598

    Phone: (541) 754-2757

    Fax: (541) 754-3584

    Type: Mailing

  • Eye Care Associates, 330, Northwest Elks Drive, Corvallis, Benton County, Oregon, 97330, United States

    SUITE C

    CORVALLIS, OR 973303779

    Phone: (541) 754-2757

    Fax: (541) 754-3584

    Type: Mailing

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: 2012-05-08

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
I20120508000256IDermatologyORTBD

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
17003Destruction of precancer skin growth, 2-14 growths27050$0
99213Established patient office or other outpatient visit, 20-29 minutes130112$0
17000Destruction of precancer skin growth, 1 growth8672$0
11104Punch biopsy, first skin growth7454$0
99212Established patient office or other outpatient visit, 10-19 minutes4737$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for ABIGAIL LEE HABERMAN (MD)?
ABIGAIL LEE HABERMAN (MD) — NPI 1255401063 — is the standard way to identify this listing.
Can I rely on ABIGAIL LEE HABERMAN (MD) being an active provider?
As of the registry snapshot, ABIGAIL LEE HABERMAN (MD) is marked active.
What is ABIGAIL LEE HABERMAN (MD) best known for clinically?
Directory data describes ABIGAIL LEE HABERMAN (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ABIGAIL LEE HABERMAN (MD) on a map?
Expect Corvallis, Oregon as a primary anchor for ABIGAIL LEE HABERMAN (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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ABIGAIL LEE HABERMAN

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690 NW CALLOWAY DR
NPI: 1871806950