Unknown Individual – Specialist, NPI 1245207448
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5635, Overbrook Road, Forestasia, Tuscaloosa, Tuscaloosa County, Alabama, 35405, United States
TUSCALOOSA, AL 354055721
Phone: (205) 553-5042
Type: Mailing
State Highway 23, Town of Moundville, Marquette County, Wisconsin, 53930, United States
MOUNDVILLE, AL 354746209
Phone: (205) 371-2267
Fax: (205) 371-2901
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2023-11-06 • Largest payer in this snapshot: ABBVIE INC. ($162).
Total Amount
$583
General + Research + Ownership
Payments
27
Total payment records
General Amount
$583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $162 |
| Lilly USA, LLC | $135 |
| Astellas Pharma US Inc | $94 |
| Novo Nordisk Inc | $46 |
| Azurity Pharmaceuticals, Inc. | $37 |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 227 | 164 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 149 | 120 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 55 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 58 | 34 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | 56 | $0 |
Insurance plans in this area (ZIP 35405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 20610 | Aspiration and/or injection of large joint or joint capsule | 29 | 23 |
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