DR. JUSTIN PAUL LEVISAY – Interventional Cardiology Physician, NPI 1255458055
Interventional Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
464 INTERVENTIONAL CARDIOLOGY in IL
Provider Addresses for DR. JUSTIN PAUL LEVISAY
2650 Ridge Ave
Walgreens Building, 3rd floor
Evanston, IL 60201
Phone: (847) 570-2250
Fax: (847) 570-1865
Type: Location
1000 CENTRAL ST STE 730
EVANSTON, IL 602011779
Phone: (847) 663-8410
Fax: (847) 676-1727
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 129 Open Payments records for all available years, with a total value of $25,797.
Total Amount is formed as General ($25,152) + Research ($645) + Ownership ($0) = $25,797.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Boston Scientific Corporation ($17,017).
Total Amount
$25,797
General + Research + Ownership
Payments
129
Total payment records
General Amount
$25,152
General payments
Research Amount
$645
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $17,017 |
| HeartFlow, Inc. | $3,653 |
| ABIOMED | $1,917 |
| Edwards Lifesciences Corporation | $1,884 |
| Shockwave Medical, Inc | $212 |
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: 2009-04-08
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 |
|---|---|---|---|---|
| I20090408000666 | I | Interventional Cardiology | IL | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 255 | 228 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 196 | 153 | $0 |
| 93454 | Insertion of tube in coronary artery for diagnosis with review by radiologist | 162 | 158 | $0 |
| 92928 | Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch | 146 | 112 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 90 | 90 | $0 |
Insurance plans in this area (ZIP 60201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | CA | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 94 | 69 |
| INTERVENTIONAL CARDIOLOGY | CA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 144 | 127 |
| INTERVENTIONAL CARDIOLOGY | CA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 101 | 100 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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