HECTOR RAFAEL PICON (MD) – Cardiovascular Disease Physician, NPI 1457416869
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for HECTOR RAFAEL PICON (MD)
221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
504, Redmond Road, Mount Berry, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651416
Phone: (706) 235-3855
Fax: (706) 290-2382
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $2,535.
Total Amount is formed as General ($2,535) + Research ($0) + Ownership ($0) = $2,535.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($962).
Total Amount
$2,535
General + Research + Ownership
Payments
80
Total payment records
General Amount
$2,535
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $962 |
| Medtronic, Inc. | $250 |
| Shockwave Medical, Inc | $199 |
| Novartis Pharmaceuticals Corporation | $197 |
| ATRICURE, INC. | $185 |
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: 2020-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060110000685 | I | Interventional Cardiology | GA | TBD |
| I20200608002515 | I | Internal Medicine | AL | 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 | 740 | 735 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 661 | 516 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 475 | 358 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 440 | 404 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 240 | 203 | $0 |
Insurance plans in this area (ZIP 30165)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 85610 | Blood test, clotting time | 605 | 64 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1293 | 900 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 179 | 172 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Radiation Oncology | GA | |
| - | GA |
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