KENNETH C HAYCRAFT JR. MD
NPI 1346304144
Family Medicine in Bloomington, MN

Q: What is Kenneth Haycraft's NPI number?

The NPI number for Kenneth Haycraft is 1346304144. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Kenneth Haycraft's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Haycraft was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2006PECOS Enrolled

7901 XERXES AVE S STE 116, BLOOMINGTON, MN 55431(952) 888-2024(952) 888-3985 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth C Haycraft Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH C HAYCRAFT JR. MD (NPI 1346304144) is an individual family medicine provider in Bloomington, Minnesota, licensed in Minnesota (21907) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346304144

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH C HAYCRAFT JR.Credential: MD

Location Address7901 XERXES AVE S STE 116Bloomington, MN 55431-1200

Mailing Address7901 Xerxes Ave S Ste 116Bloomington, MN 55431-1200 · (952) 888-2024 · Fax (952) 888-3985

Phone(952) 888-2024

Fax(952) 888-3985

Sole ProprietorNo

Enumeration DateDecember 19, 2006

Last NPPES UpdateApril 4, 2011

✔ NPI 1346304144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 21907

Definition

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.

7901 XERXES AVE S STE 116, Bloomington, MN 55431

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Other Identifiers 3

Medicare ID-Type Unspecified080006286MN

Medicare UPIND75524MN

Medicare ID-Type Unspecified702073200MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth C Haycraft Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$68.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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