Unknown Individual – Interventional Cardiology Physician, NPI 1447411459
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
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Provider Addresses for Unknown Individual
200, West 4th Street, Cookeville, Putnam County, Tennessee, 38501, United States
COOKEVILLE, TN 385012489
Phone: (931) 372-0405
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 27 Open Payments records for all available years, with a total value of $1,881.
Total Amount is formed as General ($1,881) + Research ($0) + Ownership ($0) = $1,881.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($1,230).
Total Amount
$1,881
General + Research + Ownership
Payments
27
Total payment records
General Amount
$1,881
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,230 |
| Inari Medical, Inc. | $359 |
| ABIOMED | $134 |
| PFIZER INC. | $40 |
| Novartis Pharmaceuticals Corporation | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 |
|---|---|---|---|---|
| I20160816000765 | I | Interventional Cardiology | WV | 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 | 1,552 | 1,117 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 658 | 159 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 605 | 515 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 401 | 395 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 328 | 315 | $0 |
Insurance plans in this area (ZIP 38501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | WV | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 21 | 16 |
| INTERVENTIONAL CARDIOLOGY | WV | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 50 | 33 |
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