NPIMap

Individual provider Active NPI

Eric E Haeger, MD

  • Sleep Medicine (Family Medicine) Physician
  • Brewster, WA
National Provider Identifier
1366404592
Registry record updated Apr 17, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Aug 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
MD00040450 Issued in WA
Practice address
415 Hospital Way
Suite 103
Brewster, WA 98812
Phone
(509) 689-0100
Fax
(509) 689-0596
NPI assigned
Apr 4, 2006
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X MD00040450 WA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD00040450 WA
Sleep Medicine (Family Medicine) Physician 207QS1201X MD00040450 WA Primary

Addresses

Primary practice location

415 Hospital Way
Suite 103
Brewster, WA 98812

Mailing address

PO Box 1092
Brewster, WA 98812-1092
Phone (509) 689-6666

Other identifiers 1

IdentifierTypeStateIssuer
8414625MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sleep Medicine
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Suite 1092
Brewster, WA 98812-1092

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.56 of 100Reported as group
Quality
25.9
Improvement activities
40
Cost
64.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue24
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00040450WAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Washington Sleep Diagnostic Center, PLLC Addiction Medicine CurrentSince Nov 1, 2007 Accepting new patients
L. Keith Hanson PLLC Past Accepting new patients
Central Washington Sleep Diagnostic Center, PLLC Addiction Medicine Past Accepting new patients
L Keith Hanson PLLC Past Accepting new patients
MBB Brewster LLC Past Accepting new patients

Locations

2323 W Broadway Ave
Ste 4
Moses Lake, WA 98837
Phone (509) 663-1578

6614 E Main Ave
Spokane Valley, WA 99212
Phone (509) 587-0105

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1366404592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1092",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988121092",
            "telephone_number": "509-689-6666",
            "fax_number": "509-689-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL WAY",
            "address_2": "SUITE 103",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "98812",
            "telephone_number": "509-689-0100",
            "fax_number": "509-689-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEGER",
        "first_name": "ERIC",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "WA",
            "license": "MD00040450",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00040450",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00040450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8414625",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, WA

Sources for this page

Verify at the official NPI Registry.