DR. EDGAR J MASSABNI (MD) – Interventional Cardiology Physician, NPI 1649236829

DR. EDGAR J MASSABNI (MD) is a healthcare provider. based in Green bay, Wisconsin. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 4301093535 (MI). The NPI Number for DR. EDGAR J MASSABNI (MD) is 1649236829

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDGAR J MASSABNI (MD)
NPI
1649236829
Phone
(920) 445-7226
Address
744 S WEBSTER AVE
Enumeration Date
25 April 2006
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9067741313
Graduation Year
1993 (33 years ago)
PAC ID
1153379557
Group Practice PAC ID
6800784943
Professional Enrollment ID
I20180703000848
Address ID
MI498013637IR1721XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

193 INTERVENTIONAL CARDIOLOGY in WI

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Provider Addresses for DR. EDGAR J MASSABNI (MD)

  • Bellin Hospital Green Bay, 744, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54305, United States

    GREEN BAY, WI 543013505

    Phone: (920) 445-7226

    Fax: (920) 445-7229

    Type: Mailing

  • Shore Drive, Marinette, Marinette County, Wisconsin, 54143, United States

    MARINETTE, WI 541434242

    Phone: (715) 735-8067

    Fax: (715) 732-8224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $947.

Total Amount is formed as General ($947) + Research ($0) + Ownership ($0) = $947.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($386).

Total Amount

$947

General + Research + Ownership

Payments

45

Total payment records

General Amount

$947

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080223000079ICardiovascular Disease (Cardiology)WITBD
I20180703000848IInterventional CardiologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12777$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8576$0
99204New patient office or other outpatient visit, 45-59 minutes5555$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function5049$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect4646$0
View full utilization report →

Insurance plans in this area (ZIP 54301)

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Provider's Procedures

DR. EDGAR J MASSABNI (MD) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)WI78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies8180
CARDIOVASCULAR DISEASE (CARDIOLOGY)WI93922Ultrasound study of arteries of both arms and legs2221

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784943View full group profile
NameSpecialtyState
General SurgeryMI
Emergency MedicineMI
Nurse PractitionerMI
Internal Medicine, Pediatric MedicineMI
Emergency MedicineMI
H E M A T O L O G YIL
-MI
Physician AssistantMI
Physician AssistantMI
Emergency MedicineMI

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Frequently asked questions

What is DR. EDGAR J MASSABNI (MD)'s NPI number?
DR. EDGAR J MASSABNI (MD)'s NPI is 1649236829 — the number used across U.S. healthcare to identify this provider.
Would DR. EDGAR J MASSABNI (MD) appear as active to a payer?
You can treat DR. EDGAR J MASSABNI (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. EDGAR J MASSABNI (MD)?
DR. EDGAR J MASSABNI (MD)'s specialty line reads Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DR. EDGAR J MASSABNI (MD) registered?
Use Green Bay, Wisconsin as the headline location for DR. EDGAR J MASSABNI (MD) here.
Does DR. EDGAR J MASSABNI (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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