SAM HANSEN (MD) – Cardiovascular Disease Physician, NPI 1154397701
Cardiovascular Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
724 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN
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Provider Addresses for SAM HANSEN (MD)
3900 ST FRANCIS WAY STE 205
LAFAYETTE, IN 479054939
Phone:
Type: Mailing
Saint Francis Way, Lafayette, Tippecanoe County, Indiana, 47905, United States
LAFAYETTE, IN 479054939
Phone: (765) 428-2500
Type: Location
8840, Commerce Park Place, Indianapolis, Indiana, 46268, United States
INDIANAPOLIS, IN 462683129
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $501.
Total Amount is formed as General ($501) + Research ($0) + Ownership ($0) = $501.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($233).
Total Amount
$501
General + Research + Ownership
Payments
6
Total payment records
General Amount
$501
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-04-17
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 |
|---|---|---|---|---|
| I20080417000247 | I | Cardiovascular Disease (Cardiology) | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,010 | 829 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 538 | 507 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 356 | 89 | $0 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 258 | 129 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 193 | 193 | $0 |
Insurance plans in this area (ZIP 47905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 93 | 93 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| Pulmonary Disease, Critical Care (Intensivists) | IN | |
| General Surgery, Thoracic Surgery | IN | |
| - | IN | |
| - | NY | |
| Interventional Radiology | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | IN |
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