MARK TYE HAEBERLE
NPI 1558650291
Dermatology in Louisville, KY

Active since April 04, 2011PECOS EnrolledAccepts Medicare Assignment
62.14/100
CMS Quality Rating
3810 SPRINGHURST BLVD, SUITE 200, LOUISVILLE, KY 40241(502) 583-1749(502) 329-8184 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2018, Jun 16, 2016, Jan 20, 2016 (3 updates tracked since 2016).

About Mark Tye Haeberle NPPES

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

MARK TYE HAEBERLE (NPI 1558650291) is an individual dermatology provider in Louisville, Kentucky, licensed in Kentucky (47890) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Taylor Regional Hospital, and is a graduate of University Of Louisville School Of Medicine (2011).

NPPES Registry Identity

NPI1558650291
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMARK TYE HAEBERLE
Location Address3810 SPRINGHURST BLVD, SUITE 200Louisville, KY 40241
Mailing AddressPo Box 950132Louisville, KY 40295-0132 · (888) 980-8992
Fax(502) 329-8184
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2011
Enumeration DateApril 4, 2011
Last NPPES UpdateJuly 17, 20183 updates tracked since enumeration
NPI 1558650291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in KY · 47890
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3810 SPRINGHURST BLVD, Louisville, KY 40241

Other Identifiers 1

Medicaid7100215390KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Tye Haeberle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082923032
PECOS Enrollment IDI20160520001716, I20200409000453
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.

Areas of Expertise CMS Part B claims 45

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
776 services129 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
674 services526 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.
530 services416 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
524 services426 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
249 services178 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
219 services174 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

62.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.95
Promoting Interoperability0
Improvement Activities40
Cost96.19

Other Providers at the Same Location NPPES 19

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

Dermatology
3810 SPRINGHURST BLVD, SUITE 200
LOUISVILLE, KY 40241
Ophthalmology
3810 SPRINGHURST BLVD, SUITE 100
LOUISVILLE, KY 40241
Dermatology
3810 SPRINGHURST BLVD, SUITE 200
LOUISVILLE, KY 40241
Nurse Practitioner
3810 SPRINGHURST BLVD, #200
LOUISVILLE, KY 40241
Dermatology
3810 SPRINGHURST BLVD
LOUISVILLE, KY 40241
Dermatology (Dermatopathology)
3810 SPRINGHURST BLVD, SUITE 200
LOUISVILLE, KY 40241
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3810 SPRINGHURST BLVD
LOUISVILLE, KY 40241
Ophthalmology
3810 SPRINGHURST BLVD, SUITE 100
LOUISVILLE, KY 40241

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 Mark Haeberle's NPI number?

The NPI number for Mark Haeberle is 1558650291. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Mark Haeberle located?

Mark Haeberle practices at 3810 Springhurst Blvd Suite 200, Louisville, KY 40241. The listed phone number is (502) 583-1749.

What is Mark Haeberle's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mark Haeberle enrolled in Medicare?

Yes. Mark Haeberle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Haeberle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Mark Haeberle 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.

Is Mark Haeberle affiliated with any hospitals?

According to CMS data, Mark Haeberle is affiliated with Taylor Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mark Haeberle was last updated on July 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.