RYAN BRADLEY LONGMORE (D.O.) – Cardiovascular Disease Physician, NPI 1285884213
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
97 CARDIOVASCULAR DISEASE (CARDIOLOGY) in ID
Provider Addresses for RYAN BRADLEY LONGMORE (D.O.)
1308 8th St Ste 1
Rupert, ID 833501535
Phone: (208) 436-4322
Fax: (208) 436-1312
Type: Location
Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States
POCATELLO, ID 832015175
Phone: (208) 234-2001
Fax: (208) 232-2195
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $48,623.
Total Amount is formed as General ($48,623) + Research ($0) + Ownership ($0) = $48,623.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($47,053).
Total Amount
$48,623
General + Research + Ownership
Payments
118
Total payment records
General Amount
$48,623
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $47,053 |
| Boston Scientific Corporation | $518 |
| Abbott Laboratories | $351 |
| PFIZER INC. | $193 |
| Kiniksa Pharmaceuticals International, plc | $140 |
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: 2015-08-31
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 |
|---|---|---|---|---|
| I20150831001798 | I | Cardiovascular Disease (Cardiology) | ID | 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 | 183 | 180 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 122 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 120 | 120 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 118 | 117 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 74 | 73 | $0 |
Insurance plans in this area (ZIP 83350)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | ID | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 24 | 24 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | ID | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 38 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WY | |
| Nurse Practitioner | ID | |
| Orthopedic Surgery | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WY | |
| Nurse Practitioner | ID | |
| Family Practice | CO | |
| Physician Assistant | ID | |
| Physician Assistant | UT | |
| Clinical Social Worker | ID | |
| Physician Assistant | CA |
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