Unknown Individual – Cardiovascular Disease Physician, NPI 1720007305
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
625 W BALDWIN RD STE C
PANAMA CITY, FL 324053359
Phone: (850) 769-0329
Fax: (844) 212-7396
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 36 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($138).
Total Amount
$604
General + Research + Ownership
Payments
36
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
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.
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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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1,558 | 1,534 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,203 | 973 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 1,116 | 278 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 707 | 649 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 570 | 410 | $0 |
Insurance plans in this area (ZIP 32405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | FL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 67 | 67 |
| INTERVENTIONAL CARDIOLOGY | FL | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 20 | 18 |
| INTERVENTIONAL CARDIOLOGY | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1565 | 1287 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | AL | |
| Interventional Cardiology, Nuclear Medicine, Peripheral Vascular Disease | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | AZ | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | FL | |
| - | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| - | FL | |
| Interventional Cardiology, Peripheral Vascular Disease | FL |
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