Unknown Individual – Clinical Cardiac Electrophysiology Physician, NPI 1356540272
Clinical Cardiac Electrophysiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95401, United States
STE 200
SANTA ROSA, CA 954033634
Phone: (707) 525-6485
Fax: (707) 573-6165
Type: Mailing
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765083634
Phone: (254) 724-2111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $3,322.
Total Amount is formed as General ($3,322) + Research ($0) + Ownership ($0) = $3,322.
Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Boston Scientific Corporation ($1,995).
Total Amount
$3,322
General + Research + Ownership
Payments
67
Total payment records
General Amount
$3,322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,995 |
| Abbott Laboratories | $791 |
| Biosense Webster, Inc. | $332 |
| ATRICURE, INC. | $155 |
| Impulse Dynamics (USA) Inc. | $48 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 93298 | Evaluation of cardiac rhythm monitor system, remote up to 30 days | 243 | 61 | $0 |
| 93280 | Programming of dual lead pacemaker system | 201 | 179 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 167 | 150 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 114 | 103 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 91 | $0 |
Insurance plans in this area (ZIP 95403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | CA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 373 | 290 |
| CARDIAC ELECTROPHYSIOLOGY | CA | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 69 | 47 |
| CARDIAC ELECTROPHYSIOLOGY | CA | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 41 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine, Internal Medicine | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | OK | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Nurse Practitioner | CA |
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