DR. HEATHER R HALEY (MD) – Dermatology Physician, NPI 1063493716

DR. HEATHER R HALEY (MD) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 22797 (AL). The NPI Number for DR. HEATHER R HALEY (MD) is 1063493716

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER R HALEY (MD)
NPI
1063493716
Phone
Not provided
Address
801 YORK ST
Enumeration Date
9 November 2005
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2519283844
Graduation Year
1998 (28 years ago)
PAC ID
1850293911
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20040127000472
Address ID
AL365323349FA202XXPKWY400

Contacts

Secure Messaging
HH4645@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

207 DERMATOLOGY in AL

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Provider Addresses for DR. HEATHER R HALEY (MD)

  • 801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States

    MANITOWOC, WI 542204630

    Phone:

    Type: Mailing

  • 202, Rock Creek Parkway, Rock Creek, Montrose, Fairhope, Baldwin County, Alabama, 36532, United States

    FAIRHOPE, AL 365323349

    Phone: (251) 928-3844

    Fax: (251) 928-3353

    Type: Location

  • 200 Rock Creek Pkwy

    Fairhope, AL 365323349

    Phone: (251) 928-3844

    Fax: (251) 928-3353

    Type: Location

  • 1620 N McKenzie St

    Foley, AL 365352248

    Phone: (251) 501-2240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 148 Open Payments records for all available years, with a total value of $4,597.

Total Amount is formed as General ($4,597) + Research ($0) + Ownership ($0) = $4,597.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,647).

Total Amount

$4,597

General + Research + Ownership

Payments

148

Total payment records

General Amount

$4,597

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-01-27

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
I20040127000472IDermatologyALTBD

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 growths1,247190$0
99213Established patient office or other outpatient visit, 20-29 minutes402313$0
17000Destruction of precancer skin growth, 1 growth307240$0
11102Biopsy of related skin growth, first growth188156$0
17110Destruction of skin growth, 1-14 growths10995$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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Provider's Procedures

DR. HEATHER R HALEY (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYAL11101Biopsy of each additional growth of skin and/or tissue6055

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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Can I cross-check DR. HEATHER R HALEY (MD) using NPI 1063493716?
NPI 1063493716 belongs to DR. HEATHER R HALEY (MD); compare other details if you need extra assurance.
Is DR. HEATHER R HALEY (MD) still an active registrant?
DR. HEATHER R HALEY (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. HEATHER R HALEY (MD)?
DR. HEATHER R HALEY (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. HEATHER R HALEY (MD) associated with Manitowoc?
Public fields place DR. HEATHER R HALEY (MD) around Manitowoc, Wisconsin. Always confirm the exact site before visiting.
Does DR. HEATHER R HALEY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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