CHARLES R CANNAN (MD) – Cardiovascular Disease Physician, NPI 1326093774
Cardiovascular Disease Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
711 CARDIOVASCULAR DISEASE (CARDIOLOGY) in AZ
Provider Addresses for CHARLES R CANNAN (MD)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
13400 E SHEA BLVD
SCOTTSDALE, AZ 852595452
Phone: (480) 301-8000
Fax: (360) 397-3128
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone: (503) 215-6494
Fax: (503) 215-6644
Type: Mailing
1111, Northeast 99th Avenue, Gateway, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97220, United States
SUITE 201
PORTLAND, OR 972209428
Phone: (503) 962-1000
Fax: (360) 397-3128
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-11-14
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 |
|---|---|---|---|---|
| I20221114001898 | I | Cardiovascular Disease (Cardiology) | AZ | 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 | 2,100 | 1,616 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,639 | 1,576 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 195 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 153 | 82 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 129 | 129 | $0 |
Insurance plans in this area (ZIP 55905)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | PA | |
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | AZ | |
| - | CO | |
| - | AZ | |
| Physician Assistant | AZ | |
| - | FL | |
| Nephrology, Internal Medicine | AZ | |
| - | AZ |
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