GEORGE L DOLACK (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1326122268
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
77 CARDIAC ELECTROPHYSIOLOGY in WA
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Provider Addresses for GEORGE L DOLACK (MD)
PO BOX 59028
RENTON, WA 980582028
Phone: (425) 251-5110
Fax: (425) 793-7458
Type: Mailing
Talbot Professional Center, 4011, Talbot Road South, Renton, King County, Washington, 98055, United States
SUITE 500
RENTON, WA 98055
Phone: (425) 251-5110
Fax: (425) 793-7376
Type: Location
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 $372.
Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Medtronic, Inc. ($170).
Total Amount
$372
General + Research + Ownership
Payments
5
Total payment records
General Amount
$372
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-11-28
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 |
|---|---|---|---|---|
| I20051128000104 | I | Cardiac Electrophysiology | WA | 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 | 878 | 748 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 473 | 181 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 347 | 133 | $0 |
| 93040 | Electrocardiogram (ecg) 1 to 3 leads with review by physician | 165 | 140 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 123 | $0 |
Insurance plans in this area (ZIP 98058)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | WA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1427 | 1177 |
| CARDIAC ELECTROPHYSIOLOGY | WA | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 16 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Internal Medicine, Hospitalist | WA | |
| P S Y C H I A T R Y | WA | |
| Hospice/Palliative Care, Internal Medicine | WA | |
| Internal Medicine, Hospitalist | CA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| - | WA | |
| - | WA |
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