DR. VENKATA SUSRUT PENDYALA (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1831444553
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 CARDIAC ELECTROPHYSIOLOGY in IL
Provider Addresses for DR. VENKATA SUSRUT PENDYALA (M.D.)
701 N 1st St
Springfield, IL 627023757
Phone: (217) 545-0182
Fax: (217) 545-4735
Type: Location
PO BOX 19636
SPRINGFIELD, IL 627949636
Phone: (217) 545-0182
Fax: (217) 545-4735
Type: Mailing
701 N 1ST ST
SPRINGFIELD, IL 627023757
Phone: (217) 545-0182
Fax: (217) 545-4735
Type: Location
550 GAGE BLVD STE 101
RICHLAND, WA 993529532
Phone: (509) 942-3627
Fax: (509) 627-2983
Type: Mailing
1100 GOETHALS DR STE F
RICHLAND, WA 993523301
Phone: (509) 942-3272
Fax: (509) 942-3273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $437.
Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Biosense Webster, Inc. ($300).
Total Amount
$437
General + Research + Ownership
Payments
5
Total payment records
General Amount
$437
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biosense Webster, Inc. | $300 |
| Boston Scientific Corporation | $100 |
| Medtronic, Inc. | $22 |
| Novartis Pharmaceuticals Corporation | $15 |
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: 2021-09-07
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 |
|---|---|---|---|---|
| I20210907000471 | I | Cardiac Electrophysiology | WA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 113 | 109 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 89 | 77 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 37 | $0 |
Insurance plans in this area (ZIP 62702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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