DR. ANDREW DYLAN FRUTKIN (M.D.) – Cardiovascular Disease Physician, NPI 1407885403

DR. ANDREW DYLAN FRUTKIN (M.D.) is a healthcare provider. based in Rancho mirage, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), PERIPHERAL VASCULAR DISEASE. They hold the professional credentials M.D.. They hold a License No. C54394 (CA). The NPI Number for DR. ANDREW DYLAN FRUTKIN (M.D.) is 1407885403

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW DYLAN FRUTKIN (M.D.)
NPI
1407885403
Phone
(760) 346-0642
Address
39000 BOB HOPE DR
Enumeration Date
2 July 2006
Last Update Date
12 November 2010

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7608378767
Graduation Year
1997 (29 years ago)
PAC ID
2668450594
Group Practice PAC ID
5890689657
Professional Enrollment ID
I20110105000413
Address ID
CA922703221RA39000DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

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Provider Addresses for DR. ANDREW DYLAN FRUTKIN (M.D.)

  • Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States

    HAL B. WALLIS BLDG.

    RANCHO MIRAGE, CA 922703221

    Phone: (760) 346-0642

    Fax: (760) 340-4874

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $4,050.

Total Amount is formed as General ($4,050) + Research ($0) + Ownership ($0) = $4,050.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($2,282).

Total Amount

$4,050

General + Research + Ownership

Payments

99

Total payment records

General Amount

$4,050

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-01-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110105000413ICardiovascular Disease (Cardiology)CATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,0342,020$0
99214Established patient office or other outpatient visit, 30-39 minutes1,252780$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function573529$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional568107$0
763763d radiographic procedure479440$0
View full utilization report →

Insurance plans in this area (ZIP 92270)

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Provider's Procedures

DR. ANDREW DYLAN FRUTKIN (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies4443
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin4542
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report33582302

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890689657View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
A N E S T H E S I O L O G YCA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
-CA
Hematology/Oncology, Internal MedicineCA
-CA
Hematology/Oncology, Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Family PracticeCA

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Frequently asked questions

What NPI should I save for DR. ANDREW DYLAN FRUTKIN (M.D.)?
Save NPI 1407885403 if you need a stable reference for DR. ANDREW DYLAN FRUTKIN (M.D.).
Is DR. ANDREW DYLAN FRUTKIN (M.D.) active in the national directory?
DR. ANDREW DYLAN FRUTKIN (M.D.)'s public NPI profile is in an active state.
Does DR. ANDREW DYLAN FRUTKIN (M.D.) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for DR. ANDREW DYLAN FRUTKIN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDREW DYLAN FRUTKIN (M.D.)?
We surface Rancho Mirage, California for DR. ANDREW DYLAN FRUTKIN (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.