KEITH ALLEN HAUGEN (M.D.) – Family Medicine Physician, NPI 1104806959

KEITH ALLEN HAUGEN (M.D.) is a healthcare provider. based in Colfax, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD00042430 (WA). The NPI Number for KEITH ALLEN HAUGEN (M.D.) is 1104806959

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KEITH ALLEN HAUGEN (M.D.)
NPI
1104806959
Phone
(509) 397-4717
Address
1210 W FAIRVIEW ST
Enumeration Date
18 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5035257660
Graduation Year
1996 (30 years ago)
PAC ID
1759317464
Group Practice PAC ID
8921901877
Professional Enrollment ID
I20070413000288
Address ID
OR973811917SI342XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for KEITH ALLEN HAUGEN (M.D.)

  • Whitman Medical Group, 1210, West Fairview Street, Colfax, Whitman County, Washington, 99111, United States

    COLFAX, WA 991119552

    Phone: (509) 397-4717

    Mailing address matches the actual address.

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: 2007-04-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070413000288IFamily PracticeORTBD

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 minutes4530$0
99239Hospital discharge day management, more than 30 minutes2525$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 99111)

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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: 8921901877View full group profile

Reviews

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Frequently asked questions

How is KEITH ALLEN HAUGEN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists KEITH ALLEN HAUGEN (M.D.) with NPI 1104806959.
Is KEITH ALLEN HAUGEN (M.D.) still practicing?
KEITH ALLEN HAUGEN (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes KEITH ALLEN HAUGEN (M.D.)?
For research purposes, treat KEITH ALLEN HAUGEN (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KEITH ALLEN HAUGEN (M.D.) list a practice location?
Patients near Colfax, Washington may find KEITH ALLEN HAUGEN (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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