SUSAN O'DONOGHUE MD
NPI 1457306771
Internal Medicine - Cardiovascular Disease in Washington, DC


Quality Rating: 100 out of 100 score

NPI Status: Active since May 24, 2006

Contact Information

110 IRVING ST NW
SUITE 2A38
WASHINGTON, DC
ZIP 20010
Phone: (202) 877-2848
Fax: (202) 877-6292

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  • Individual
  • Female
  • Years of Experience 45
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SUSAN O'DONOGHUE

This page provides the complete NPI Profile along with additional information for Susan O'donoghue, an internist established in Washington, District Of Columbia with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 45 years of experience. She graduated from Georgetown University School Of Medicine in 1981. The healthcare provider is registered in the NPI registry with number 1457306771 assigned on May 2006. The practitioner's primary taxonomy code is 207RC0000X with license number MD17494 (DC). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1457306771
Provider Name
SUSAN O'DONOGHUE MD
Gender
Female
Entity Type
Individual
Location Address
110 IRVING ST NW SUITE 2A38 WASHINGTON, DC 20010
Location Phone
(202) 877-2848
Location Fax
(202) 877-6292
Mailing Address
110 IRVING ST NW SUITE 2A38 WASHINGTON, DC 20010
Mailing Phone
(202) 877-2848
Mailing Fax
(202) 877-6292
Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1981
Is Sole Proprietor?
No
Enumeration Date
05-24-2006
Last Update Date
04-06-2017
Code Navigator

An internist like Susan O'donoghue 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 Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
MD17494
License State
DC
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Insurance Plans Accepted

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

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
606013C34MEDICARE ID-TYPE UNSPECIFIED (04)DC 
D30376MEDICARE UPIN (02)DC 
076541400MEDICAID (05)MD 
6039693MEDICAID (05)VA 
060039132MEDICARE ID-TYPE UNSPECIFIED (04)DCRAILROAD
025694300MEDICAID (05)DC 

Medicare Participation & PECOS Enrollment Status

Susan O'donoghue 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.

Susan O'donoghue 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: 3476535642

    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: I20040602000632, I20190319002446, I20201210001111

    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.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 20 times for 20 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 70 times for 65 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 135 times for 119 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

This service was performed 33 times for 18 patients

Evaluation of heart function using tilt table

A tilt table test evaluates how your heart and blood pressure respond to gravity and position changes. While lying flat, you'll be tilted at different angles. This helps determine if you have a condition causing faintness or lightheadedness.

This service was performed 14 times for 14 patients

Evaluation of single or dual chamber pacing cardioverter-defibrillator at time of implantation or replacement

This procedure involves assessing a device implanted in your chest, called a cardioverter-defibrillator. It helps regulate your heart's rhythm. Single or dual chamber refers to the number of heart chambers the device can control. It's evaluated when implanted or replaced.

This service was performed 25 times for 25 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

This service was performed 58 times for 54 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

This service was performed 88 times for 72 patients

External shock to heart to regulate heart beat

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

This service was performed 27 times for 26 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 12 times for 11 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

This service was performed 81 times for 76 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 42 times for 42 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 96 times for 94 patients

Insertion of catheters for recording and pacing of right heart chambers rhythm and induction of abnormal rhythm

This procedure involves placing thin tubes called catheters into the right side of your heart. These catheters record your heart's rhythm and can also stimulate it to beat at different rates. This helps doctors identify and study any irregular heart rhythms you may have.

This service was performed 16 times for 16 patients

Insertion of heart rhythm monitor under skin

The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.

This service was performed 19 times for 19 patients

Insertion of implantable defibrillator system

The insertion of an implantable defibrillator system is a procedure to manage irregular heart rhythms. A small device is placed under your skin, which monitors your heart rate. If it detects an abnormal rhythm, it sends an electrical pulse to restore normal heartbeat.

This service was performed 24 times for 24 patients

Insertion of left lower heart electrode for pacemaker or defibrillator

The procedure involves placing a small electrode in your left lower heart region. This electrode is part of a pacemaker or defibrillator, devices that help regulate your heart rhythm. It's done under local anesthesia, and you may feel mild discomfort.

This service was performed 11 times for 11 patients

Insertion of pacemaker and upper and lower heart chamber electrode

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

This service was performed 40 times for 40 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 11 times for 11 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 19 times for 19 patients

Pacemaker insertion or repair

Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.

This service was performed for 36 patients

Programming of dual lead implantable defibrillator system

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

This service was performed 18 times for 16 patients

Programming of dual lead pacemaker system

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

This service was performed 60 times for 49 patients

Programming of multiple lead implantable defibrillator system

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

This service was performed 22 times for 21 patients

Programming of multiple lead pacemaker system

Programming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.

This service was performed 21 times for 18 patients

Programming of single lead implantable defibrillator system

Programming of a single lead implantable defibrillator system involves setting up and adjusting a device implanted in your body. This device helps regulate your heartbeat. It can detect irregular heart rhythms and provide corrective electric shocks to restore a normal heartbeat.

This service was performed 26 times for 23 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 252 times for 212 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 30 times for 27 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $36.96 for a new patient copayment and $20.16 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 20010 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $147.85
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.86
  • Average New Patient Copayment $36.96
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $80.66
  • Minimum Established Patient Price $21.4
  • Maximum Established Patient Price $158.88
  • Average Established Patient Copayment $20.16
  • Minimum Established Patient Copayment $5.35
  • Maximum Established Patient Copayment $39.72

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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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.
1457306771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241076012714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 6 + 0 + 1 + 2 + 7 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1457306771 is valid because the calculated check digit 1 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
1578567012 AUTUMN C GRAHAM MD
Individual
Emergency Medicine110 IRVING ST NW
WASHINGTON, DC 20010
(202) 444-2116
1265422877 DONNA Y NORRIS ANP-C
Individual
Nurse Practitioner (Family)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1144210758 ALAN H OST MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1508856147 ANETTE VIRTA-PARAS MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1780674382 AI-HSI LIU MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1649260266 ARNOLD RAIZON MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1558351155 LYNN F HUANG MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1750371449 ROCCO A ARMONDA MD
Individual
Neurological Surgery110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1639169220 DAVID R BUCK MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1891785242 MICHAEL A SMITH MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1659361186 DHRUV KUMAR AGRAWAL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1316937857 THOMAS A GODWIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1023008562 ERNEST E LACK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1619967999 ELMO R ACIO MD
Individual
Nuclear Medicine110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6066
1437149713 CARLOS A GARCIA MD
Individual
Nuclear Medicine110 IRVING ST NW BB-43
WASHINGTON, DC 20010
(202) 877-6066
1518957893 DOUGLAS VANNOSTRAND MD
Individual
Nuclear Medicine110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6066
1902896020 JEFFREY D SEIDMAN MD
Individual
Pathology (Anatomic Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1184614299 WEN LEE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1750372629 MANISH H SHAH MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)110 IRVING ST NW CARDIAC ARRHYTHMIA CENTER SUITE 5A-12
WASHINGTON, DC 20010
(202) 877-7685
1215928577 MARIO GOLOCOVSKY MD
Individual
Surgery110 IRVING ST NW RM 4B39
WASHINGTON, DC 20010
(202) 877-5190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457306771, enumerated in the NPI registry as an "individual" on May 24, 2006

The provider is located at 110 Irving St Nw Suite 2a38 Washington, Dc 20010 and the phone number is (202) 877-2848

The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider has more than 45 years of experience. She graduated from Georgetown University School Of Medicine in 1981.

The provider might be accepting Accepts: Medicare and Medicaid. 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.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $147.85 with an average copayment of $36.96 for new patient appointments. Established patients should expect a typical charge of $80.66 and an average copayment of 20.16. 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: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Evaluation of cardiac rhythm monitor system, remote up to 30 days, Evaluation of heart function using tilt table, Evaluation of single or dual chamber pacing cardioverter-defibrillator at time of implantation or replacement, Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days, Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days, External shock to heart to regulate heart beat, Follow-up hospital inpatient care per day, typically 25 minutes, Heart rhythm review and interpretation of continous external ekg over 8-15 days, Initial hospital inpatient care per day, typically 30 minutes, Initial hospital inpatient care per day, typically 50 minutes, Insertion of catheters for recording and pacing of right heart chambers rhythm and induction of abnormal rhythm, Insertion of heart rhythm monitor under skin, Insertion of implantable defibrillator system, Insertion of left lower heart electrode for pacemaker or defibrillator, Insertion of pacemaker and upper and lower heart chamber electrode, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Pacemaker insertion or repair, Programming of dual lead implantable defibrillator system, Programming of dual lead pacemaker system, Programming of multiple lead implantable defibrillator system, Programming of multiple lead pacemaker system, Programming of single lead implantable defibrillator system, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.

This NPI record was last updated on May 24, 2006. 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].
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