DR. DAVID LEROY PROTHRO (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1942208426
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
238 CARDIOVASCULAR DISEASE (CARDIOLOGY) in NV
Provider Addresses for DR. DAVID LEROY PROTHRO (MD)
5460 HIDDEN GREEN PT
RENO, NV 895028724
Phone: (775) 322-4449
Fax: (775) 322-0723
Type: Mailing
5470 KIETZKE LN STE 300
RENO, NV 895112099
Phone: (775) 322-4449
Fax: (775) 322-0723
Type: Location
2385, East Prater Way, Sparks, Washoe County, Nevada, 89434, United States
STE 309
SPARKS, NV 894349629
Phone: (775) 322-4449
Fax: (775) 322-0723
Type: Location
22nd Avenue, Kearney, Buffalo County, Nebraska, 68849, United States
SUITE 100
KEARNEY, NE 688452206
Phone: (308) 865-2263
Fax: (308) 865-2541
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2023-09-08 • Largest payer in this snapshot: Philips Electronics North America Corporation ($113).
Total Amount
$113
General + Research + Ownership
Payments
2
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips Electronics North America Corporation | $113 |
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: 2005-01-28
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 |
|---|---|---|---|---|
| I20041118001205 | I | Cardiovascular Disease (Cardiology) | CA | TBD |
| I20050128000275 | I | Cardiovascular Disease (Cardiology) | NV | 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 89502)
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Reviews
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