THEOPHILUS E OWAN (M.D.) – Interventional Cardiology Physician, NPI 1982682647
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
62 INTERVENTIONAL CARDIOLOGY in UT
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Provider Addresses for THEOPHILUS E OWAN (M.D.)
PO BOX 413033
SALT LAKE CITY, UT 841413033
Phone: (801) 213-3900
Type: Mailing
Primary Children's Hospital, 100, Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SALT LAKE CITY, UT 841131103
Phone: (801) 662-5400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $6,496.
Total Amount is formed as General ($6,496) + Research ($0) + Ownership ($0) = $6,496.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($3,925).
Total Amount
$6,496
General + Research + Ownership
Payments
57
Total payment records
General Amount
$6,496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $3,925 |
| Medtronic, Inc. | $2,324 |
| Kiniksa Pharmaceuticals, Ltd. | $120 |
| Siemens Medical Solutions USA, Inc. | $54 |
| Novartis Pharmaceuticals Corporation | $33 |
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: 2021-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100922001007 | I | Internal Medicine | UT | TBD |
| I20210113001792 | I | Cardiovascular Disease (Cardiology) | NV | 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 | 735 | 617 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 284 | 280 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 230 | 213 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 190 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 162 | 151 | $0 |
Insurance plans in this area (ZIP 84141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | UT | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 38 | 32 |
| INTERNAL MEDICINE | UT | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 70 | 69 |
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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