SARA CECILIA MARTINEZ M.D., PH.D.
NPI 1750543906
Internal Medicine - Cardiovascular Disease in Olympia, WA
NPI Status: Active since June 30, 2008
Contact Information
500 LILLY RD NE STE 100
PROVIDENCE CARDIOLOGY ASSOCIATES
OLYMPIA, WA
ZIP 98506
Phone: (360) 413-8525
- Individual
- Female
- Years of Experience 11
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SARA MARTINEZ
This page provides the complete NPI Profile along with additional information for Sara Martinez, an internist established in Olympia, Washington with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 11 years of experience. She graduated from Washington University School Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1750543906 assigned on June 2008. The practitioner's primary taxonomy code is 207RC0000X with license number MD60652712 (WA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1750543906
- Provider Name
- SARA CECILIA MARTINEZ M.D., PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 500 LILLY RD NE STE 100 PROVIDENCE CARDIOLOGY ASSOCIATES OLYMPIA, WA 98506
- Location Phone
- (360) 413-8525
- Mailing Address
- 500 LILLY RD NE STE 100 PROVIDENCE CARDIOLOGY ASSOCIATES OLYMPIA, WA 98506
- Medical School Name
- WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2008
- Last Update Date
- 08-17-2016
- Code Navigator
An internist like Sara Martinez 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.
- MD60652712
- License State
- WA
- 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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sara Martinez 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.
Sara Martinez 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: 4183853427
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: I20160824001309
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
Electrocardiogram (ecg) 2-day continuous
Electrocardiogram (ecg) 2-day continuous with review by health care professional
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, 40-54 minutes
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Heart rhythm recording of continous external ekg over 8-15 days
Heart rhythm review and interpretation of continous external ekg over 8-15 days
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 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
New patient office or other outpatient visit, 45-59 minutes
Nuclear medicine studies of heart muscle at rest and with stress and spect
Pacemaker insertion or repair
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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
Routine electrocardiogram (ecg) using at least 12 leads with tracing
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart, follow-up
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
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 54 patientsAn Electrocardiogram (ECG) 2-day continuous is a non-invasive test that records the electrical activity of your heart over 48 hours. It helps to detect irregular heart rhythms, heart disease, or other cardiac conditions. You wear a portable device that records heart activity as you go about your daily activities.
This service was performed 25 times for 25 patientsAn Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.
This service was performed 23 times for 23 patientsThis 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 167 times for 156 patientsThis 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 538 times for 351 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 15 times for 15 patientsAn exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
This service was performed 16 times for 16 patientsAn exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
This service was performed 21 times for 21 patientsFollow-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 145 times for 60 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 17 times for 12 patientsA heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.
This service was performed 47 times for 46 patientsThis 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 69 times for 69 patientsInitial 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 43 times for 42 patientsThis 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 29 times for 26 patientsThis 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 17 times for 17 patientsThis 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 44 times for 43 patientsThis 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 18 times for 18 patientsThis 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 110 times for 110 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 27 times for 27 patientsPacemaker 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 1-10 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 153 times for 145 patientsA 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 115 times for 108 patientsA 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 38 times for 38 patientsAn Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
This service was performed 41 times for 41 patientsThis 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 33 times for 32 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 162 times for 161 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 82 times for 81 patientsA follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
This service was performed 36 times for 33 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 90 times for 81 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.74 for a new patient copayment and $17.82 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 98506 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.99
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $32.74
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* 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. Sara Martinez is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| PROVIDENCE CENTRALIA HOSPITAL | 914 S SCHEUBER ROAD CENTRALIA, WA 98531 | (360) 736-2803 | Acute Care Hospitals | |
| PROVIDENCE ST PETER HOSPITAL | 413 LILLY ROAD NE OLYMPIA, WA 98506 | (360) 491-9480 | Acute Care Hospitals | |
| SWEDISH MEDICAL CENTER / CHERRY HILL | 500 17TH AVENUE SEATTLE, WA 98122 | (206) 320-2000 | Acute Care Hospitals | |
| SUMMIT PACIFIC MEDICAL CENTER | 600 EAST MAIN STREET ELMA, WA 98541 | (360) 346-2222 | Critical Access Hospitals | |
| MASON GENERAL HOSPITAL & FAMILY OF CLINICS | 901 MT VIEW DRIVE SHELTON, WA 98584 | (360) 426-1611 | Critical Access Hospitals |
Reviews for SARA CECILIA MARTINEZ M.D., PH.D.
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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. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 4 | 3 | 9 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 4 | 6 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 4 + 6 + 9 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1750543906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902962707 | CARDIOLOGY ASSOCIATES PLLC Organization | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8752 |
| 1427501097 | MICHAEL C EVELAND ARNP Individual | Nurse Practitioner | 500 LILLY RD NE STE 100 PROVIDENCE CARDIOLOGY ASSOCIATES OLYMPIA, WA 98506 (360) 413-8525 |
| 1669797320 | DR. CHARLES FREDERICK ROSSOW MD, PHD Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1477959682 | NATALYA A VAUGHN AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1336456672 | NATASHA P ARORA MD Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 PROVIDENCE CARDIOLOGY ASSOCIATES OLYMPIA, WA 98506 (360) 413-8525 |
| 1861446494 | QIANG LI MD Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1811225923 | DR. GOPAL GHIMIRE MD, PHD, MRCP Individual | Internal Medicine (Interventional Cardiology) | 500 LILLY RD NE STE 100 PROVIDENCE CARDIOLOGY ASSOCIATES OLYMPIA, WA 98506 (360) 413-8525 |
| 1376108803 | GABRIELLE A HUDSON ARNP Individual | Nurse Practitioner | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1033552237 | DR. HARTAJ SINGH GIRN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1679782676 | DR. TIMOTHY STEPHEN LARSON M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1508020801 | DR. KAMAL RAJ JOSHI M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1417581992 | IVY KIM-AGUILAR ARNP Individual | Nurse Practitioner (Family) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1700547205 | ANDREW WORLEY DNP-FNP Individual | Nurse Practitioner | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1801588868 | AMY HILLIER Individual | Physician Assistant | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1356021349 | KATHARINE SHEBESTA PHYSICIAN ASSISTANT Individual | Physician Assistant (Medical) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1407381759 | YUXUAN HU MD Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1083100887 | BRAD ALLAN HOWARD DO Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1750878831 | DR. TRAN NGOC BAO NGUYEN MD Individual | Internal Medicine (Cardiovascular Disease) | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
| 1285352393 | MRS. NICOLE ANNE WOODARD PA-C Individual | Physician Assistant | 500 LILLY RD NE STE 100 OLYMPIA, WA 98506 (360) 413-8525 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750543906, enumerated in the NPI registry as an "individual" on June 30, 2008
The provider is located at 500 Lilly Rd Ne Ste 100 Providence Cardiology Associates Olympia, Wa 98506 and the phone number is (360) 413-8525
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider has more than 11 years of experience. She graduated from Washington University School Of Medicine in 2015.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska 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 $130.99 with an average copayment of $32.74 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. 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, Electrocardiogram (ecg) 2-day continuous, Electrocardiogram (ecg) 2-day continuous with review by health care professional, 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, 40-54 minutes, Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician, Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Heart rhythm recording of continous external ekg over 8-15 days, Heart rhythm review and interpretation of continous external ekg over 8-15 days, 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 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, New patient office or other outpatient visit, 45-59 minutes, Nuclear medicine studies of heart muscle at rest and with stress and spect, Pacemaker insertion or repair, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, 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, Routine electrocardiogram (ecg) using at least 12 leads with tracing, Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel, Ultrasound of heart with color-depicted blood flow, rate, direction and valve function, Ultrasound of heart with color-depicted blood flow, rate, direction and valve function, Ultrasound of heart, follow-up and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
The practitioner is affiliated to the following hospital(s): PROVIDENCE CENTRALIA HOSPITAL, PROVIDENCE ST PETER HOSPITAL, SWEDISH MEDICAL CENTER / CHERRY HILL, SUMMIT PACIFIC MEDICAL CENTER and MASON GENERAL HOSPITAL & FAMILY OF CLINICS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 30, 2008. 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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