MR. BRIAN NEIL GUTTORMSEN (MD) – Interventional Cardiology Physician, NPI 1629045232
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
193 INTERVENTIONAL CARDIOLOGY in WI
Provider Addresses for MR. BRIAN NEIL GUTTORMSEN (MD)
5045 W GRANDE MARKET DR
APPLETON, WI 549138517
Phone: (920) 886-9380
Fax: (920) 886-9381
Type: Location
PO BOX 88040
MILWAUKEE, WI 532880040
Phone: (920) 886-9380
Fax: (920) 886-9381
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,984.
Total Amount is formed as General ($1,984) + Research ($0) + Ownership ($0) = $1,984.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($392).
Total Amount
$1,984
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,984
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $392 |
| Medtronic, Inc. | $324 |
| Penumbra, Inc. | $149 |
| Abbott Laboratories | $133 |
| Boston Scientific Corporation | $130 |
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: 2005-09-29
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 |
|---|---|---|---|---|
| I20050929000269 | I | Interventional Cardiology | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 427 | 274 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 185 | 48 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 114 | 70 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 113 | 70 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 102 | 80 | $0 |
Insurance plans in this area (ZIP 54913)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 36 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| General Surgery | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| - | IL | |
| O P H T H A L M O L O G Y | WI | |
| - | OH | |
| - | WI | |
| - | WI | |
| - | WI |
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.