JORDAN M PRUTKIN (M.D., M.H.S.) – Clinical Cardiac Electrophysiology Physician, NPI 1760597488
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
77 CARDIAC ELECTROPHYSIOLOGY in WA
Loading map...
Provider Addresses for JORDAN M PRUTKIN (M.D., M.H.S.)
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 543-6420
Type: Mailing
University of Washington Medical Center - Montlake, 1959, Northeast Pacific Street, University District, Seattle, King County, Washington, 98195, United States
SEATTLE, WA 981956340
Phone: (206) 543-0065
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-08-13
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 |
|---|---|---|---|---|
| I20090813000696 | 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 | 1,287 | 981 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | 94 | $0 |
| 93286 | Programming of single, dual, or multiple lead or leadless pacemaker system before or after surgery | 46 | 29 | $0 |
| 93280 | Programming of dual lead pacemaker system | 38 | 31 | $0 |
| 93655 | Insertion of catheters and destruction of tissue to treat abnormal heart rhythm | 31 | 16 | $0 |
Insurance plans in this area (ZIP 98145)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | WA | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 44 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| Infectious Disease | OR | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.