Unknown Individual – Cardiovascular Disease Physician, NPI 1699774117
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
215, Oak Drive South, Lake Jackson, Brazoria County, Texas, 77566, United States
SUITE L
LAKE JACKSON, TX 775665629
Phone: (979) 297-5481
Fax: (979) 297-1924
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 5 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2023-07-27 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($52).
Total Amount
$66
General + Research + Ownership
Payments
5
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $52 |
| PFIZER INC. | $13 |
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.
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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 |
|---|---|---|---|---|
| J2785 | Injection, regadenoson, 0.1 mg | 128 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 112 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 78 | 77 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 70 | 68 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 54 | 54 | $0 |
Insurance plans in this area (ZIP 77566)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 49 | 48 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93922 | Ultrasound study of arteries of both arms and legs | 18 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | TX |
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