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DR. HA THUY HATLEY MD
NPI 1437718384
Family Medicine in Edwardsville, IL

Active since June 12, 2019PECOS Enrolled
74.42/100
CMS Quality Rating
3417 ANDERSON HEALTHCARE DR STE 200, EDWARDSVILLE, IL 62025(618) 288-8500 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2022, Aug 4, 2022, Jun 12, 2019 (3 updates tracked since 2019).

About Dr. Ha Thuy Hatley Md NPPES

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

DR. HA THUY HATLEY MD (NPI 1437718384) is an individual family medicine provider in Edwardsville, Illinois, licensed in Illinois (036.158962) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437718384
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HA THUY HATLEYCredential: MD
Location Address3417 ANDERSON HEALTHCARE DR STE 200Edwardsville, IL 62025-7784
Mailing Address3417 Anderson Healthcare Dr Ste 200Edwardsville, IL 62025-7784 · (618) 288-8500
Phone(618) 288-8500
Sole ProprietorYes
Enumeration DateJune 12, 2019
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1437718384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036.158962✔ Licensed in MO · 2019018922
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2021004767 (MO)
3417 ANDERSON HEALTHCARE DR STE 200, Edwardsville, IL 62025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ha Thuy Hatley 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.

Medicare Billing Reassignments

7

Medicare enrollment records show Ha Hatley reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Inpatient Anderson Health, Inc
8.1 mi
Emergency Medicine
6800 IL 162
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group
NPI 1821758608 (618) 288-5711
Midwest Emergency Anderson Health, Inc
13 mi
Emergency Medicine
400 N CALDWELL ST
Staunton, IL 62088
  • Reassigned Medicare billing, Illinois enrollment
  • 121 clinicians in this Medicare group
NPI 1710647615 (618) 635-2200
Southeastern Emergency Physicians Of Memphis LLC
16 mi
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Missouri enrollment
  • 343 clinicians in this Medicare group
NPI 1437105277 (618) 463-7474
Midwest Emergency Centralia Campus Associates, Inc
46 mi
Emergency Medicine
400 NORTH PLEASANT AVENUE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • 69 clinicians in this Medicare group
NPI 1396034245 (817) 451-4208
Midwest Emergency Sparta, Inc
51 mi
Emergency Medicine
818 E BROADWAY ST
Sparta, IL 62286
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
NPI 1194162370 (817) 451-4208
Midwest Emergency Good Samaritan, Inc
63 mi
Emergency Medicine
605 N 12TH ST
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 81 clinicians in this Medicare group
NPI 1629367578 (817) 451-4208
Small Hospital Innovations LLC
981 mi
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Florida enrollment
  • 147 clinicians in this Medicare group
NPI 1184040560 (305) 204-9318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Other Providers at the Same Location NPPES 7

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

ROBIN RISKY DNP, APRN, FNP-C
Nurse Practitioner (Family)
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Madison County (618) 288-8500
AYHAM ALKARMI MD
Otolaryngology
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Madison County (618) 288-8500
MICHELLE P MULLIGAN M.D.
Family Medicine
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Madison County (618) 288-8500
MRS. EMILY A YAKEL APN
Nurse Practitioner
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Madison County (618) 288-8500
MRS. ELIZABETH ANN DAWSON D.O.
Family Medicine
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Madison County (618) 288-8500
KALEENA GALLETTA FNP-C
Nurse Practitioner (Family)
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Madison County (618) 288-8500
DR. SRIMANNARAYANA MARELLA M.D
Family Medicine
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Madison County (618) 288-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ha Hatley's NPI number?

The NPI number for Ha Hatley is 1437718384. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Ha Hatley located?

Ha Hatley practices at 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025. The listed phone number is (618) 288-8500.

What is Ha Hatley's specialty?

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

Is Ha Hatley enrolled in Medicare?

Yes. Ha Hatley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ha Hatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ha Hatley reassigns Medicare benefits to 7 organizations: Midwest Inpatient Anderson Health, Inc (Maryville, IL), Midwest Emergency Anderson Health, Inc (Staunton, IL), Southeastern Emergency Physicians Of Memphis LLC (Alton, IL), Midwest Emergency Centralia Campus Associates, Inc (Centralia, IL), Midwest Emergency Sparta, Inc (Sparta, IL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ha Hatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ha Hatley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and Highmark Blue Cross Blue Shield West Virginia list Ha Hatley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ha Hatley was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.