Unknown Individual – Interventional Cardiology Physician, NPI 1770585184
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Box Tree Court, Arbor Pointe, Jacksonville, Duval County, Florida, 32225, United States
JACKSONVILLE, FL 322033667
Phone: (904) 720-0799
Fax: (904) 425-4676
Type: Mailing
270, 13th Avenue South, Oceanside Park, Jacksonville Beach, Duval County, Florida, 32250, United States
JACKSONVILLE BEACH, FL 322503258
Phone: (904) 425-4677
Fax: (904) 425-4676
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $4,781.
Total Amount is formed as General ($4,781) + Research ($0) + Ownership ($0) = $4,781.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Medtronic, Inc. ($1,476).
Total Amount
$4,781
General + Research + Ownership
Payments
104
Total payment records
General Amount
$4,781
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,476 |
| ABIOMED | $976 |
| Inari Medical, Inc. | $615 |
| Abbott Laboratories | $575 |
| Edwards Lifesciences Corporation | $372 |
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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 446 | 215 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 328 | 226 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 302 | 300 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 193 | 186 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 184 | 177 | $0 |
Insurance plans in this area (ZIP 32203)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | FL | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 100 | 100 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology) | SC | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Nurse Practitioner | FL |
Reviews
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