THOM G. A. DAHLE (MD) – Interventional Cardiology Physician, NPI 1760458673
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
121 INTERVENTIONAL CARDIOLOGY in MN
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Provider Addresses for THOM G. A. DAHLE (MD)
1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States
CENTRACARE CLINIC
SAINT CLOUD, MN 563032735
Phone: (320) 252-5131
Fax: (952) 883-5395
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 444 Open Payments records for all available years, with a total value of $416,543.
Total Amount is formed as General ($416,322) + Research ($220) + Ownership ($0) = $416,543.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($167,466).
Total Amount
$416,543
General + Research + Ownership
Payments
444
Total payment records
General Amount
$416,322
General payments
Research Amount
$220
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $167,466 |
| ABIOMED | $154,818 |
| Shockwave Medical, Inc | $21,429 |
| Medtronic, Inc. | $19,132 |
| Boston Scientific Corporation | $15,672 |
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: 2004-03-18
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 |
|---|---|---|---|---|
| I20040318001068 | I | Interventional Cardiology | MN | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 128 | 122 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 124 | 121 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 100 | 98 | $0 |
| 93454 | Insertion of tube in coronary artery for diagnosis with review by radiologist | 57 | 57 | $0 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 37 | 37 | $0 |
Insurance plans in this area (ZIP 56303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MN | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 21 | 19 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 39 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| - | MN | |
| U R O L O G Y | MA | |
| Emergency Medicine | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN |
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