EVAN BLANK (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1437543089

EVAN BLANK (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA11696700 (NJ). The NPI Number for EVAN BLANK (M.D.) is 1437543089

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
EVAN BLANK (M.D.)
NPI
1437543089
Phone
Not provided
Address
1364 CLIFTON RD NE
Enumeration Date
22 March 2015
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
0042574576
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20230913002084
Address ID
NJ085054517BO3242X206X300

Contacts

Secure Messaging
eblank256521@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230913002084ICardiac ElectrophysiologyNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2828$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2322$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2322$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2115$0
View full utilization report →

Insurance plans in this area (ZIP 30322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830222397View full group profile

Reviews

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Frequently asked questions

What identifier follows EVAN BLANK (M.D.) across health systems?
The NPI 1437543089 uniquely identifies EVAN BLANK (M.D.) in U.S. healthcare data.
Is EVAN BLANK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists EVAN BLANK (M.D.) as active.
What type of care does EVAN BLANK (M.D.) provide?
EVAN BLANK (M.D.)'s profile centers on Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Is EVAN BLANK (M.D.) tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, EVAN BLANK (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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