EMAD MUSTAFA DODIN (MD) – Cardiovascular Disease Physician, NPI 1295929255
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
205 INTERVENTIONAL CARDIOLOGY in MO
Provider Addresses for EMAD MUSTAFA DODIN (MD)
127 CRESTVIEW PARK DR STE 209
DICKSON, TN 370552856
Phone: (615) 446-5121
Fax: (615) 446-1357
Type: Mailing
2403 FOLSOM ST
EAU CLAIRE, WI 547032435
Phone: (715) 552-9784
Fax: (715) 835-6370
Type: Mailing
1150 State Highway 248 Ste 200
Branson, MO 656164186
Phone: (417) 336-4112
Type: Location
3800 S National Ave Ste 400
Springfield, MO 658075272
Phone: (000) 000-0000
Type: Location
719 W HAMILTON AVE STE B
EAU CLAIRE, WI 547016970
Phone: (715) 552-9784
Fax: (715) 835-6370
Type: Mailing
113 HIGHWAY 70 E STE G
DICKSON, TN 370552075
Phone: (615) 446-1345
Fax: (615) 441-4560
Type: Location
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 547013016
Phone: (715) 839-9280
Fax: (715) 831-0052
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $383.
Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Abbott Laboratories ($127).
Total Amount
$383
General + Research + Ownership
Payments
17
Total payment records
General Amount
$383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
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: 2026-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180620000808 | I | Interventional Cardiology | WI | TBD |
| I20200813002398 | I | Interventional Cardiology | TN | TBD |
| I20250520004433 | I | Interventional Cardiology | MO | TBD |
| I20260311000427 | I | Interventional Cardiology | IA | 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 | 403 | 211 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 207 | 198 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 199 | 184 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 141 | 141 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 83 | 83 | $0 |
Insurance plans in this area (ZIP 37055)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | ND | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 286 | 282 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice, Emergency Medicine | WI | |
| Certified Nurse Midwife (Cnm) | WI | |
| - | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| P O D I A T R Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Internal Medicine | WI | |
| Physician Assistant | WI |
Reviews
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