MR. RICKY DWAYNE LATHAM (MD) – Cardiovascular Disease Physician, NPI 1477553139
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
559 INTERNAL MEDICINE in ID
Provider Addresses for MR. RICKY DWAYNE LATHAM (MD)
Bay Area Hospital, 1775, Thompson Road, Coos Bay, Coos County, Oregon, 97420, United States
COOS BAY, OR 974202125
Phone: (541) 266-4650
Fax: (541) 266-4659
Type: Mailing
2001 VALENICA DRIVE
SUITE 201
IDAHO FALLS, ID 83404
Phone: (208) 524-9400
Fax: (208) 524-9401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $353.
Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($154).
Total Amount
$353
General + Research + Ownership
Payments
18
Total payment records
General Amount
$353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-02-07
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 |
|---|---|---|---|---|
| I20040507000103 | I | Cardiovascular Disease (Cardiology) | ID | TBD |
| I20150207000423 | I | Cardiovascular Disease (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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,240 | 1,022 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 409 | 402 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 396 | 209 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 221 | 221 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 192 | 192 | $0 |
Insurance plans in this area (ZIP 97420)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OR | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Clinical Psychologist | ID | |
| Family Practice | OK | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Orthopedic Surgery | ID | |
| Internal Medicine, Pediatric Medicine | ID |
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