MR. TOM DAVID HAZEL (FNP) – Family Nurse Practitioner, NPI 1316944754
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for MR. TOM DAVID HAZEL (FNP)
560 Catalina Dr
Ashland, OR 975201605
Phone: (541) 201-4800
Fax: (541) 201-4815
Type: Location
1221 DISK DR
MEDFORD, OR 975016638
Phone: (458) 658-5930
Fax: (541) 414-1123
Type: Mailing
49 TALENT AVE
TALENT, OR 975409638
Phone: (541) 773-3863
Type: Location
Catalina Drive, Ashland, Jackson County, Oregon, 97520, United States
ASHLAND, OR 975201605
Phone: (541) 201-4800
Fax: (541) 201-4815
Type: Location
Asante Ashland Community Hospital, 280, Maple Street, Ashland, Jackson County, Oregon, 97520, United States
ASHLAND, OR 975201552
Phone: (541) 201-4800
Fax: (541) 201-4815
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: 2007-09-13
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 |
|---|---|---|---|---|
| I20070913000679 | I | Nurse Practitioner | OR | 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 | 159 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 152 | 71 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 97520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | OR |
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