Unknown Individual – Cardiovascular Disease Physician, NPI 1437119286
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Medical Park Drive, Shawnee, Pottawatomie County, Oklahoma, 74804, United States
SHAWNEE, OK 748041707
Phone: (405) 273-0406
Fax: (405) 273-1799
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 10 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($128).
Total Amount
$244
General + Research + Ownership
Payments
10
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,067 | 552 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 703 | 557 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 503 | 491 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 176 | 176 | $0 |
| 93356 | Heart muscle strain imaging | 149 | 149 | $0 |
Insurance plans in this area (ZIP 74804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 26 | 19 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 74 | 46 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 49 | 47 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 115 | 112 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | OK |
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