JOHN G HAEBERLE (M.D.) – Family Medicine Physician, NPI 1619901907
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
328 FAMILY PRACTICE in WY
Provider Addresses for JOHN G HAEBERLE (M.D.)
2710 HARNEY ST STE 202
LARAMIE, WY 820722899
Phone: (307) 742-3242
Fax: (307) 742-3282
Type: Mailing
2710 HARNEY ST STE 100
LARAMIE, WY 820720001
Phone: (307) 742-3242
Fax: (307) 742-3282
Type: Location
1121 WASHINGTON BLVD
NEWCASTLE, WY 827012968
Phone: (307) 746-6720
Fax: (307) 746-9744
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $217.
Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Novo Nordisk Inc ($49).
Total Amount
$217
General + Research + Ownership
Payments
11
Total payment records
General Amount
$217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $49 |
| Lilly USA, LLC | $28 |
| Abbott Laboratories | $26 |
| SANOFI-AVENTIS U.S. LLC | $26 |
| Lundbeck LLC | $22 |
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: 2009-06-26
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 |
|---|---|---|---|---|
| I20090626000569 | I | Family Practice | WY | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 322 | 245 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 179 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 140 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 169 | 129 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 167 | 167 | $0 |
Insurance plans in this area (ZIP 82072)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CO |
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