Unknown Individual – Family Medicine Physician, NPI 1619085974
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Medical Park Drive, Andalusia, Covington County, Alabama, 36420, United States
P.O. BOX 1739
ANDALUSIA, AL 364205323
Phone: (334) 222-2418
Fax: (334) 222-0943
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 ·
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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 | 663 | 231 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 193 | 193 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 176 | 113 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 160 | 80 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 142 | 134 | $0 |
Insurance plans in this area (ZIP 36420)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 301 | 270 |
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