DOUGLAS L PACKER (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1194703942
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN
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Provider Addresses for DOUGLAS L PACKER (M.D.)
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Location
5121 S COTTONWOOD ST
MURRAY, UT 841075701
Phone: (801) 507-7000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $81,966.
Total Amount is formed as General ($81,966) + Research ($0) + Ownership ($0) = $81,966.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($32,570).
Total Amount
$81,966
General + Research + Ownership
Payments
30
Total payment records
General Amount
$81,966
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Impulse Dynamics (USA) Inc. | $32,570 |
| Biosense Webster, Inc. | $31,868 |
| Volta Medical Inc | $13,314 |
| Medtronic, Inc. | $3,888 |
| Abbott Laboratories | $261 |
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: 2024-01-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100513000860 | I | Cardiac Electrophysiology | MN | TBD |
| I20240118004556 | I | Cardiovascular Disease (Cardiology) | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | UT | |
| - | OR | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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