JOHN G HAEBERLE M.D. NPI 1619901907

NPI Information

  • NPI: 1619901907
  • Provider Name: JOHN G HAEBERLE, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2710 HARNEY ST STE 100
    LARAMIE, WY
    ZIP 82072
  • Phone: (307) 742-3242

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NPI Details

John G Haeberle, M.D. is a family medicine in Laramie, WY with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John G Haeberle, M.D. NPI is 1619901907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

2710 HARNEY ST STE 100
LARAMIE, WY
ZIP 82072-001
Phone: (307) 742-3242
Fax: (307) 742-3282

The NPI 1619901907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Hemoglobin a1c level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, clotting time (HCPCS:85610)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Automated urinalysis test (HCPCS:81003)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Removal of impacted ear wax (HCPCS:69210)
  • Uric acid level, blood (HCPCS:84550)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)

The enumeration date for this NPI number is 7/10/2006 and was last updated on 9/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine8128AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1127701400MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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