DR. SARA MAE EDEIKEN (MD) – Vascular Surgery Physician, NPI 1164740221
Vascular Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
Provider Addresses for DR. SARA MAE EDEIKEN (MD)
3000 COLISEUM DR STE 200
HAMPTON, VA 236665963
Phone: (757) 224-2198
Type: Mailing
4301 GARTH RD STE 303
BAYTOWN, TX 775213158
Phone: (832) 556-6625
Fax: (832) 556-6650
Type: Mailing
4201 Garth Rd Ste 111
Baytown, TX 775213154
Phone: (832) 556-6625
Fax: (832) 556-6650
Type: Location
310 Stock St Ste 3
Hanover, PA 173312276
Phone: (717) 637-1738
Type: Location
4201 GARTH RD STE 111
BAYTOWN, TX 775213154
Phone: (832) 556-6625
Fax: (832) 556-6650
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $677.
Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Penumbra, Inc. ($247).
Total Amount
$677
General + Research + Ownership
Payments
8
Total payment records
General Amount
$677
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $247 |
| W. L. Gore & Associates, Inc. | $193 |
| Checkpoint Surgical, Inc | $112 |
| Medtronic, Inc. | $85 |
| Alnylam Pharmaceuticals Inc. | $22 |
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: 2024-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20190805000983 | I | Vascular Surgery | TX | TBD |
| I20220729002507 | I | Vascular Surgery | CO | TBD |
| I20230927002438 | I | Vascular Surgery | PA | TBD |
| I20241029003627 | I | Vascular Surgery | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 23666)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | MI | |
| - | VA | |
| - | VA | |
| Pulmonary Disease, Internal Medicine | GA | |
| N E U R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA |
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