JEREMY SHANE WHITE (M.D.) – Interventional Cardiology Physician, NPI 1104237007
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 INTERVENTIONAL CARDIOLOGY in AL
Provider Addresses for JEREMY SHANE WHITE (M.D.)
625 19th St S
Birmingham, AL 352331900
Phone: (205) 934-9666
Type: Location
625 19TH ST S
BIRMINGHAM, AL 352331900
Phone: (205) 934-9666
Type: Mailing
501 MARSHALL ST STE 104
JACKSON, MS 392021663
Phone: (601) 969-6404
Fax: (601) 973-4541
Type: Location
965 RIDGE LAKE BLVD STE 315
MEMPHIS, TN 381209401
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 187 Open Payments records for all available years, with a total value of $7,198.
Total Amount is formed as General ($7,198) + Research ($0) + Ownership ($0) = $7,198.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($2,236).
Total Amount
$7,198
General + Research + Ownership
Payments
187
Total payment records
General Amount
$7,198
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,236 |
| Edwards Lifesciences Corporation | $1,962 |
| ABIOMED | $537 |
| Inari Medical, Inc. | $366 |
| ShockWave Medical, Inc | $182 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220608003209 | I | Interventional Cardiology | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 353 | 327 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 326 | 105 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 280 | 269 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 266 | 197 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 196 | 196 | $0 |
Insurance plans in this area (ZIP 35233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| Internal Medicine | TN | |
| N E U R O L O G Y | TN | |
| - | MS | |
| Nurse Practitioner | MS | |
| - | MS | |
| - | TN | |
| - | MS | |
| Family Practice | MS | |
| Family Practice | TN |
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