Unknown Individual – Interventional Cardiology Physician, NPI 1912055112
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
6940 VAN DORN ST STE 201
LINCOLN, NE 685062858
Phone: (402) 413-6363
Type: Location
310 Sunnyview lane
Kalispell, MT 59901
Phone: (406) 752-5111
Type: Location
6238, South 82nd Street, Parkers Landing 1st Addition, Family Acres, Lincoln, Lancaster County, Nebraska, 68516, United States
LINCOLN, NE 685166805
Phone: (847) 305-9599
Type: Mailing
West 86th Street, Sioux Falls, Delapre Township, Lincoln County, South Dakota, 57101, United States
LINCOLN, NE 68526
Phone: (402) 414-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $3,351.
Total Amount is formed as General ($3,351) + Research ($0) + Ownership ($0) = $3,351.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Medtronic, Inc. ($2,362).
Total Amount
$3,351
General + Research + Ownership
Payments
81
Total payment records
General Amount
$3,351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,362 |
| Novartis Pharmaceuticals Corporation | $176 |
| Boston Scientific Corporation | $164 |
| Impulse Dynamics (USA) Inc. | $150 |
| PFIZER INC. | $102 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,521 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 943 | 537 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 565 | 555 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 473 | 324 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 353 | 343 | $0 |
Insurance plans in this area (ZIP 68506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Cardiovascular Disease (Cardiology) | NE |
Reviews
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