DR. PROSPERO BARQUERO GOGO JR. MD
NPI 1417949694
Internal Medicine - Interventional Cardiology in Burlington, VT

NPI Status: Active since August 16, 2005

Contact Information

111 COLCHESTER AVE
FLETCHER ALLEN HEALTH CARE - CARDIOLOGY
BURLINGTON, VT
ZIP 05401
Phone: (802) 847-3602
Fax: (802) 847-0429

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  • Individual
  • Male
  • Years of Experience 29
  • Internal Medicine
  • Interventional Cardiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PROSPERO GOGO

This page provides the complete NPI Profile along with additional information for Prospero Gogo, an internist established in Burlington, Vermont with a medical specialization in Internal Medicine, focusing in interventional cardiology and more than 29 years of experience. He graduated from George Washington University School Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1417949694 assigned on August 2005. The practitioner's primary taxonomy code is 207RI0011X with license number 42-0010113 (VT). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1417949694
Provider Name
DR. PROSPERO BARQUERO GOGO JR. MD
Gender
Male
Entity Type
Individual
Location Address
111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE - CARDIOLOGY BURLINGTON, VT 05401
Location Phone
(802) 847-3602
Location Fax
(802) 847-0429
Mailing Address
PO BOX 1063 FLETCHER ALLEN HEALTH CARE BURLINGTON, VT 05402
Mailing Phone
(802) 847-3602
Mailing Fax
(802) 847-0429
Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
08-16-2005
Last Update Date
11-18-2013
Code Navigator

An internist like Prospero Gogo is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Interventional Cardiology

Taxonomy Code
207RI0011X
Type
Allopathic & Osteopathic Physicians
License No.
42-0010113
License State
VT
Taxonomy Description
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

42-0010113 (VT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0VN2379MEDICAID (05)VT 
H24834MEDICARE UPIN (02) 
VN2379MEDICARE ID-TYPE UNSPECIFIED (04)VT 

Medicare Participation & PECOS Enrollment Status

Prospero Gogo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Prospero Gogo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9931136314

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050719000170

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Coronary angioplasty and stenting

Coronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.

This service was performed for 99 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 147 times for 136 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 142 times for 126 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 95 times for 79 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 40 times for 39 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 23 times for 21 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 20 times for 20 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

This service was performed 93 times for 70 patients

Insertion of tube in bypass graft for diagnosis with review by radiologist

This procedure involves placing a small tube into a bypass graft, which is a vessel used to reroute blood flow. A radiologist, a doctor who specializes in medical imaging, then reviews the images taken to help diagnose any potential issues.

This service was performed 13 times for 13 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

This service was performed 99 times for 96 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

This service was performed 52 times for 52 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

This service was performed 12 times for 12 patients

Insertion of tube in right heart chambers for measurement

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

This service was performed 15 times for 15 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 16 times for 16 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 14 times for 14 patients

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel

This procedure involves removing plaque, a substance that can block your blood vessels, and any blood clots. A stent, a tiny tube, may be inserted to keep the vessel open. If necessary, a balloon is inflated to widen the vessel, aiding blood flow.

This service was performed 17 times for 17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 914 times for 798 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 19 times for 19 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

This service was performed 13 times for 13 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

This service was performed 40 times for 38 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.92 for a new patient copayment and $24.6 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 05401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.71
  • Minimum New Patient Price $55.8
  • Maximum New Patient Price $168.48
  • Average New Patient Copayment $31.92
  • Minimum New Patient Copayment $13.95
  • Maximum New Patient Copayment $42.12

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.4
  • Minimum Established Patient Price $18.08
  • Maximum Established Patient Price $137.84
  • Average Established Patient Copayment $24.6
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.46

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Prospero Gogo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-0000Acute Care Hospitals
NORTHWESTERN MEDICAL CENTER INC133 FAIRFIELD STREET
SAINT ALBANS, VT 05478
(802) 524-5911Acute Care Hospitals

Reviews for DR. PROSPERO BARQUERO GOGO JR. MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417949694
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242718418618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 8 + 4 + 1 + 8 + 6 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1417949694 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295733087 CURTIS GREEN MD
Individual
Radiology (Diagnostic Radiology)111 COLCHESTER AVE PATRICK 109 MCHV
BURLINGTON, VT 05401
(802) 847-3592
1457351835DR. FRIEDERIKE KYRA KEATING MD
Individual
Internal Medicine111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-3734
1326034992DR. SCOTT D PERRAPATO D.O.
Individual
Urology111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE PAVILION LEVEL 5
BURLINGTON, VT 05401
(802) 847-2884
1861482366 KELLY MCGOVERN LU NP
Individual
Nurse Practitioner111 COLCHESTER AVE VERMONT CHILDREN'S HOSPITAL
BURLINGTON, VT 05401
(802) 847-6081
1649258468DR. TIFFINI JAYE LAKE MD
Individual
Anesthesiology111 COLCHESTER AVE DEPT OF ANESTHESIOLOGY
BURLINGTON, VT 05401
(802) 847-2415
1972583706 ARTHUR MARK WARWICK MD
Individual
Psychiatry & Neurology (Psychiatry)111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
(802) 847-0552
1144200940DR. JEFFREY B SCHNOOR PHARM.D.
Individual
Pharmacist111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-0058
1083684120 MICHAEL JOHN OBERDING MD
Individual
Anesthesiology111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-2415
1528030038MRS. MICHELLE KATHLEEN KEARNEY PA C
Individual
Physician Assistant111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE NEUROSURGERY
BURLINGTON, VT 05401
(802) 847-4590
1093788317 ELLEN GLORIA EVANS
Individual
Dietitian, Registered111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
(802) 847-1400
1174599278 MONIKA MODLINSKI M.D.
Individual
Anesthesiology111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-2415
1962479683MRS. ANNE ELIZABETH KLEIN PA-C
Individual
Physician Assistant111 COLCHESTER AVE DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR
BURLINGTON, VT 05401
(802) 847-4570
1780652511 KATE ALANNA HODGE CRNA
Individual
Nurse Anesthetist, Certified Registered111 COLCHESTER AVE FAHC ANESTHESIA
BURLINGTON, VT 05401
(802) 847-2434
1306814140MRS. JANICE MARIE GROSCHEN CRNA
Individual
Nurse Anesthetist, Certified Registered111 COLCHESTER AVE FAHC-DEPARTMENT OF ANESTHESIOLOGY
BURLINGTON, VT 05401
(802) 847-2415
1154382042DR. REBECCA OWEN RUID PHD
Individual
Psychologist (Clinical)111 COLCHESTER AVE FAHC PSYCHOLOGY SERVICES
BURLINGTON, VT 05401
(802) 847-7967
1881655496DR. BRIAN YOUNG KIM MD
Individual
Ophthalmology111 COLCHESTER AVE 358WP5 OPHTHALMOLOGY
BURLINGTON, VT 05401
(802) 847-2251
1861455511MR. STEPHEN LYNN GROSCHEN CRNA
Individual
Nurse Anesthetist, Certified Registered111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-2415
1346208907 ERIC KUMAR GANGULY MD
Individual
Internal Medicine (Gastroenterology)111 COLCHESTER AVE 5TH FLOOR WEST PAVILION
BURLINGTON, VT 05401
(802) 847-8865
1154379063DR. ROBERT MICHAEL LOBEL MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)111 COLCHESTER AVE MCCLURE 1 BUILDING, FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
(802) 847-3734
1407805708 JAMIE L KELLY PA
Individual
Physician Assistant111 COLCHESTER AVE ACCMP2
BURLINGTON, VT 05401
(802) 847-0000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417949694, enumerated in the NPI registry as an "individual" on August 16, 2005

The provider is located at 111 Colchester Ave Fletcher Allen Health Care - Cardiology Burlington, Vt 05401 and the phone number is (802) 847-3602

The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology

The provider has more than 29 years of experience. He graduated from George Washington University School Of Medicine in 1997.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $127.71 with an average copayment of $31.92 for new patient appointments. Established patients should expect a typical charge of $98.4 and an average copayment of 24.6. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Coronary angioplasty and stenting, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hospital discharge day management, 30 minutes or less, Initial hospital inpatient care per day, typically 70 minutes, Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch, Insertion of tube in bypass graft for diagnosis with review by radiologist, Insertion of tube in coronary artery for diagnosis with review by radiologist, Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist, Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist, Insertion of tube in right heart chambers for measurement, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel and Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel.

The practitioner is affiliated to the following hospital(s): UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE and NORTHWESTERN MEDICAL CENTER INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.