DR. CARLOS GUSTAVO FERNANDEZ (D.O.) – Interventional Cardiology Physician, NPI 1356561484
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
304 INTERVENTIONAL CARDIOLOGY in MI
Provider Addresses for DR. CARLOS GUSTAVO FERNANDEZ (D.O.)
PO BOX 13008
LANSING, MI 489013008
Phone: (517) 364-7999
Type: Mailing
1140 E MICHIGAN AVE STE 400
LANSING, MI 489121806
Phone: (517) 364-9650
Fax: (517) 364-9605
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $3,619.
Total Amount is formed as General ($3,619) + Research ($0) + Ownership ($0) = $3,619.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Boston Scientific Corporation ($802).
Total Amount
$3,619
General + Research + Ownership
Payments
109
Total payment records
General Amount
$3,619
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $802 |
| Shockwave Medical, Inc | $328 |
| Amgen Inc. | $245 |
| ShockWave Medical, Inc | $165 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $145 |
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: 2010-06-28
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 |
|---|---|---|---|---|
| I20100628000965 | I | Interventional Cardiology | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 204 | 173 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 68 | 68 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 56 | 56 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 56 | 55 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 39 | 39 | $0 |
Insurance plans in this area (ZIP 48901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | MI | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 32 | 32 |
| INTERVENTIONAL CARDIOLOGY | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 352 | 285 |
| INTERVENTIONAL CARDIOLOGY | MI | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 79 | 79 |
| INTERVENTIONAL CARDIOLOGY | MI | 93922 | Ultrasound study of arteries of both arms and legs | 64 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Osteopathic Manipulative Medicine | MI | |
| Physician Assistant | OH |
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