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DR. MARK ALLEN HAGGENJOS D.O.
NPI 1619935475
Family Medicine in Portland, IN

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
428 WEST VOTAW STREET, SUITE A, PORTLAND, IN 47371(260) 726-8822(260) 726-7857 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2021, Feb 22, 2019 (2 updates tracked since 2019).

About Dr. Mark Allen Haggenjos D.o. NPPES

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

DR. MARK ALLEN HAGGENJOS D.O. (NPI 1619935475) is an individual family medicine provider in Portland, Indiana, licensed in Indiana (02001027A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Philadelphia College Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1619935475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK ALLEN HAGGENJOSCredential: D.O.
Location Address428 WEST VOTAW STREET, SUITE APortland, IN 47371-0710
Mailing Address1200 W White River BlvdMuncie, IN 47303-4988 · (877) 668-5621
Phone(260) 726-8822
Fax(260) 726-7857
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1987
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
✔ NPI 1619935475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02001027A
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 02001027A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License 02001027A (IN)
428 WEST VOTAW STREET, Portland, IN 47371
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Other Identifiers 1

Medicaid100348680IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Mark Allen Haggenjos D.o. 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 ID9739128885
PECOS Enrollment IDI20050427001316
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

2

Medicare enrollment records show Mark Haggenjos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meridian Health Services Corp
0.1 mi
Federally Qualified Health Center (FQHC)
500 W VOTAW ST, SUITE A
Portland, IN 47371
  • Reassigned Medicare billing, Indiana enrollment
  • 322 clinicians in this Medicare group
NPI 1457803769 (765) 288-1928
Indiana University Health Ball Memorial Physicians, Inc.
19 mi
Family Medicine
349 W 1ST ST
Albany, IN 47320
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group
NPI 1598085409 (765) 789-4545

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

Hospital Affiliations CMS Care Compare 2

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47371 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers53 claims138 services$6.09 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$37.76 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers20 claims20 services$117.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims44 services$44.78 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$72.71 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers23 claims23 services$23.97 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 2

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

ALICE ODELIA BRUGGEMAN NP
Nurse Practitioner (Family)
428 WEST VOTAW STREET, SUITE A
PORTLAND, IN 47371
Jay County (260) 726-8822
CAMILLE ANNE ELICK-SHAWVER NP
Nurse Practitioner (Family)
428 WEST VOTAW STREET, SUITE A
PORTLAND, IN 47371
Jay County (260) 726-8822

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 Haggenjos's NPI number?

The NPI number for Mark Haggenjos is 1619935475. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Mark Haggenjos located?

Mark Haggenjos practices at 428 West Votaw Street Suite A, Portland, IN 47371. The listed phone number is (260) 726-8822.

What is Mark Haggenjos's specialty?

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

Is Mark Haggenjos enrolled in Medicare?

Yes. Mark Haggenjos 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.

Which organizations bill Medicare for Mark Haggenjos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Haggenjos reassigns Medicare benefits to 2 organizations: Meridian Health Services Corp (Portland, IN) and Indiana University Health Ball Memorial Physicians, Inc. (Albany, IN). 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 Mark Haggenjos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Haggenjos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mark Haggenjos 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 Haggenjos affiliated with any hospitals?

According to CMS data, Mark Haggenjos is affiliated with Reid Health and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Mark Haggenjos was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.