SANDEEP GAUTAM (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1568416014
Clinical Cardiac Electrophysiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
74 CARDIAC ELECTROPHYSIOLOGY in KY
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Provider Addresses for SANDEEP GAUTAM (M.D.)
Bowling Green Bypass, Bowling Green, Caroline County, Virginia, 22427, United States
BOWLING GREEN, KY 421011703
Phone: (270) 796-8800
Fax: (270) 796-9328
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $8,872.
Total Amount is formed as General ($8,872) + Research ($0) + Ownership ($0) = $8,872.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Biosense Webster, Inc. ($7,194).
Total Amount
$8,872
General + Research + Ownership
Payments
36
Total payment records
General Amount
$8,872
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biosense Webster, Inc. | $7,194 |
| Boston Scientific Corporation | $1,227 |
| Medtronic, Inc. | $175 |
| Abbott Laboratories | $171 |
| AltaThera Pharmaceuticals LLC | $25 |
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: 2011-10-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20111007000445 | I | Cardiovascular Disease (Cardiology) | MO | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 806 | 650 | $0 |
| 93298 | Evaluation of cardiac rhythm monitor system, remote up to 30 days | 527 | 86 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 243 | 107 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 196 | 146 | $0 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 136 | 55 | $0 |
Insurance plans in this area (ZIP 42101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | KY | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 51 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO | |
| Emergency Medicine, Internal Medicine | MO | |
| Family Practice | MO | |
| Clinical Psychologist | MO |
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