DR. RICHARD ADAM HAYCOCK (D.O.) – Psychiatry Physician, NPI 1326443417
Psychiatry Physician
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NPPES metrics only — not quality of care.
455 PSYCHIATRY in OR
Provider Addresses for DR. RICHARD ADAM HAYCOCK (D.O.)
400 9TH ST
FLORENCE, OR 974397398
Phone: (458) 205-6555
Fax: (458) 205-6577
Type: Location
10 Tower Dr
Sun Prairie, WI 535901239
Phone: (608) 825-3500
Fax: (608) 825-3793
Type: Location
1313 Fish Hatchery Rd
Madison, WI 537151911
Phone: (605) 252-0808
Type: Location
564 Main St
Stroudsburg, PA 183602128
Phone: (570) 420-8070
Type: Location
777 Blakeslee Blvd Dr E
Lehighton, PA 18235
Phone: (610) 377-8525
Type: Location
3100 SW 62nd Ave
Miami, FL 331553009
Phone: (305) 284-7500
Type: Location
3333 Riverbend Dr
Springfield, OR 974778800
Phone: (541) 222-2185
Fax: (541) 222-2194
Type: Location
16 South Centre St
Pottsville, PA 17901
Phone: (570) 628-5234
Type: Location
807 WEST AVE
AUSTIN, TX 787012207
Phone: (888) 285-2269
Fax: (512) 838-4264
Type: Mailing
16 SOUTH CENTRE ST
POTTSVILLE, PA 17901
Phone: (570) 628-5234
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2026-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240909001118 | I | Psychiatry | OR | TBD |
| I20260309000921 | I | Psychiatry | UT | 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 97439)
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