EVAN BLANK (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1437543089
Clinical Cardiac Electrophysiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
105 CARDIAC ELECTROPHYSIOLOGY in GA
Provider Addresses for EVAN BLANK (M.D.)
1364 CLIFTON RD NE
ATLANTA, GA 303221059
Phone:
Type: Mailing
One Gustave L. Levy Place
New York, NY 100296574
Phone: (212) 241-6500
Type: Location
1364 Clifton Rd NE
Atlanta, GA 303221059
Phone: (404) 727-4724
Type: Location
301 LIPPINCOTT DR STE 410
MARLTON, NJ 080534197
Phone: (856) 355-0340
Type: Mailing
1 BRACE RD STE C3
CHERRY HILL, NJ 080342600
Phone: (856) 424-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $9,824.
Total Amount is formed as General ($9,824) + Research ($0) + Ownership ($0) = $9,824.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($3,537).
Total Amount
$9,824
General + Research + Ownership
Payments
78
Total payment records
General Amount
$9,824
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $3,537 |
| Boston Scientific Corporation | $2,496 |
| BIOTRONIK INC. | $2,261 |
| Philips Electronics North America Corporation | $534 |
| ATRICURE, INC. | $365 |
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: 2023-09-13
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 |
|---|---|---|---|---|
| I20230913002084 | I | Cardiac Electrophysiology | NJ | 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 | 28 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 23 | 22 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | 22 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | 15 | $0 |
Insurance plans in this area (ZIP 30322)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Advanced Heart Failure And Transplant Cardiology | MD | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ |
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