MR. BRUCE EDWIN VANNATTA (MD) – Interventional Cardiology Physician, NPI 1629074877
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for MR. BRUCE EDWIN VANNATTA (MD)
Katella Avenue, Los Alamitos, Orange County, California, 90702, United States
SUITE 401
LOS ALAMITOS, CA 907203338
Phone: (562) 598-3200
Fax: (562) 799-3646
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 145 Open Payments records for all available years, with a total value of $3,065.
Total Amount is formed as General ($3,065) + Research ($0) + Ownership ($0) = $3,065.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($801).
Total Amount
$3,065
General + Research + Ownership
Payments
145
Total payment records
General Amount
$3,065
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 |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $801 |
| Novartis Pharmaceuticals Corporation | $671 |
| Novo Nordisk Inc | $283 |
| Abbott Laboratories | $183 |
| ATRICURE, INC. | $172 |
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: 2010-12-09
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 |
|---|---|---|---|---|
| I20101209000648 | I | Cardiovascular Disease (Cardiology) | CA | 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 |
|---|---|---|---|---|
| J1306 | Injection, inclisiran, 1 mg | 12,912 | 28 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,207 | 703 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,161 | 692 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 1,161 | 694 | $0 |
| 83735 | Magnesium level | 1,157 | 700 | $0 |
Insurance plans in this area (ZIP 90720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CA | 85610 | Blood test, clotting time | 387 | 59 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CA | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 65 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | CA | |
| Internal Medicine | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Cardiovascular Disease (Cardiology) | OH |
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