Unknown Individual – Interventional Cardiology Physician, NPI 1760486484
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
731, 12th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States
SUITE 305
ARDMORE, OK 734015761
Phone: (580) 223-7472
Fax: (580) 223-6673
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 6 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Medtronic, Inc. ($46).
Total Amount
$112
General + Research + Ownership
Payments
6
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $46 |
| Impulse Dynamics (USA) Inc. | $33 |
| Boston Scientific Corporation | $32 |
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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 166 | 103 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 157 | 95 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 138 | 61 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 125 | 81 | $0 |
| 93280 | Programming of dual lead pacemaker system | 84 | 44 | $0 |
Insurance plans in this area (ZIP 73401)
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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 | 48 | 42 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 77 | 49 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 30 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK |
Reviews
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