DR. KENNETH S MARVIN (MD) – Cardiovascular Disease Physician, NPI 1417035221
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA
Provider Addresses for DR. KENNETH S MARVIN (MD)
PO BOX 407
VIDALIA, GA 304750407
Phone: (912) 535-3500
Type: Mailing
155 GLASSON WAY
GRASS VALLEY, CA 959455723
Phone: (530) 274-6000
Type: Mailing
101, Harris Industrial Boulevard, Vidalia, Toombs County, Georgia, 30474, United States
SUITE A
VIDALIA, GA 304748852
Phone: (912) 535-3500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2026-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180402000911 | I | Hospitalist | CA | TBD |
| I20200429000593 | I | Cardiovascular Disease (Cardiology) | AZ | TBD |
| I20260126000769 | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 181 | 178 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 59 | 59 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 58 | 58 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 55 | 53 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 22 | $0 |
Insurance plans in this area (ZIP 30475)
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