CHARLIE ED JR. BRUNSON (MD) – Interventional Cardiology Physician, NPI 1780639500
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
216 CARDIOVASCULAR DISEASE (CARDIOLOGY) in UT
Provider Addresses for CHARLIE ED JR. BRUNSON (MD)
4403 HARRISON BLVD STE 3490
OGDEN, UT 844033284
Phone: (801) 387-2650
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 387-2650
Type: Mailing
Colorado West Audiologists, 2643, Patterson Road, Westwood Estates, Grand Junction, Mesa County, Colorado, 81506, United States
SUITE 605
GRAND JUNCTION, CO 815061953
Phone: (970) 244-2482
Fax: (970) 255-1701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Abbott Laboratories ($74).
Total Amount
$90
General + Research + Ownership
Payments
3
Total payment records
General Amount
$90
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 | $74 |
| Edwards Lifesciences Corporation | $16 |
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: 2011-06-08
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 |
|---|---|---|---|---|
| I20110608000015 | I | Cardiovascular Disease (Cardiology) | UT | 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 | 501 | 443 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 439 | 429 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 170 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 94 | 94 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 47 | 47 | $0 |
Insurance plans in this area (ZIP 84403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 32 | 32 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CO | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 50 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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