Unknown Individual – Obstetrics & Gynecology Physician, NPI 1194921254
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
630 McQueen Smith Rd N
Prattville, AL 360667511
Phone: (334) 365-6088
Fax: (334) 365-6055
Type: Location
495, Taylor Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361173513
Phone: (334) 279-9333
Fax: (334) 279-9381
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $366.
Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($91).
Total Amount
$366
General + Research + Ownership
Payments
18
Total payment records
General Amount
$366
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 37 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 64 | 64 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 26 | 26 | $0 |
| 77067 | Screening mammography | 20 | 20 | $0 |
| 77063 | Screening 3d breast mammography | 19 | 19 | $0 |
Insurance plans in this area (ZIP 36066)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | AL | 81002 | Urinalysis, manual test | 21 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Obstetrics/Gynecology, Family Practice, Family Practice | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Family Practice | TX | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC |
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