KENT W DAUTERMAN (MD) – Interventional Cardiology Physician, NPI 1255329728
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
87 INTERVENTIONAL CARDIOLOGY in OR
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Provider Addresses for KENT W DAUTERMAN (MD)
520, Medical Center Drive, Medford, Jackson County, Oregon, 97504, United States
SUITE 200
MEDFORD, OR 975044314
Phone: (541) 282-6606
Fax: (541) 282-6601
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 19 Open Payments records for all available years, with a total value of $576.
Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ShockWave Medical, Inc ($219).
Total Amount
$576
General + Research + Ownership
Payments
19
Total payment records
General Amount
$576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ShockWave Medical, Inc | $219 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $174 |
| Teleflex LLC | $79 |
| Kiniksa Pharmaceuticals, Ltd. | $28 |
| ABIOMED | $26 |
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: 2003-12-22
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 |
|---|---|---|---|---|
| I20031222000396 | I | Interventional Cardiology | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 426 | 376 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 412 | 389 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 357 | 310 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 142 | 121 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 141 | 64 | $0 |
Insurance plans in this area (ZIP 97504)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | OR | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 107 | 106 |
| INTERVENTIONAL CARDIOLOGY | OR | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 30 | 30 |
| INTERVENTIONAL CARDIOLOGY | OR | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 46 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Interventional Cardiology, Internal Medicine | MA | |
| Cardiovascular Disease (Cardiology) | OR | |
| Cardiac Electrophysiology | OR | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | OR | |
| Internal Medicine, Interventional Cardiology | OR | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | OR | |
| Cardiovascular Disease (Cardiology) | OR |
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