ALEXANDRE A PETRAKIAN (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1811987654
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
276 CARDIAC ELECTROPHYSIOLOGY in TX
Provider Addresses for ALEXANDRE A PETRAKIAN (MD)
1108 S Buffalo St
Canton, TX 751032304
Phone: (903) 595-2283
Type: Location
1505 State Highway 19 S
Athens, TX 757518950
Phone: (903) 675-6800
Type: Location
126 W Main St Ste C
Gun Barrel City, TX 751565404
Phone: (903) 595-2283
Type: Location
1783, Troup Highway, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757015869
Phone: (903) 595-2283
Fax: (903) 595-1063
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $10,778.
Total Amount is formed as General ($10,778) + Research ($0) + Ownership ($0) = $10,778.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Abbott Laboratories ($5,305).
Total Amount
$10,778
General + Research + Ownership
Payments
127
Total payment records
General Amount
$10,778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $5,305 |
| Boston Scientific Corporation | $3,063 |
| Impulse Dynamics (USA) Inc. | $495 |
| Medtronic, Inc. | $301 |
| Novartis Pharmaceuticals Corporation | $222 |
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: 2009-08-28
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 |
|---|---|---|---|---|
| I20090828000256 | I | Cardiac Electrophysiology | TX | 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 | 1,318 | 1,153 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 327 | 246 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 230 | 112 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 194 | 192 | $0 |
| 93280 | Programming of dual lead pacemaker system | 179 | 148 | $0 |
Insurance plans in this area (ZIP 75103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 44 | 44 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 63 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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