DOUGLAS EBERSOLE (MD) – Interventional Cardiology Physician, NPI 1972575736
Interventional Cardiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
614 INTERVENTIONAL CARDIOLOGY in FL
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Provider Addresses for DOUGLAS EBERSOLE (MD)
1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338053019
Phone: (863) 680-7000
Fax: (866) 264-8519
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 74 Open Payments records for all available years, with a total value of $59,301.
Total Amount is formed as General ($59,301) + Research ($0) + Ownership ($0) = $59,301.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($39,642).
Total Amount
$59,301
General + Research + Ownership
Payments
74
Total payment records
General Amount
$59,301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-14
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 |
|---|---|---|---|---|
| I20100114000579 | I | Interventional Cardiology | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 89 | $0 |
| 33340 | Repair of left upper heart chamber with implant with review by radiologist | 78 | 78 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 33 | 30 | $0 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 29 | 29 | $0 |
Insurance plans in this area (ZIP 33805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1005 | 769 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Pulmonary Disease, Internal Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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