Unknown Individual – Family Medicine Physician, NPI 1497743058
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1881, West 24th Street, Yuma, Yuma County, Arizona, 85364, United States
STE A
YUMA, AZ 853646297
Phone: (928) 726-7171
Fax: (928) 726-7206
Type: Location
Yuma Post Office, SR 424, Yuma, Carroll County, West Tennessee, Tennessee, 38390, United States
YUMA, AZ 853665089
Phone: (928) 726-7171
Fax: (928) 726-7206
Type: Mailing
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 $324.
Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($198).
Total Amount
$324
General + Research + Ownership
Payments
18
Total payment records
General Amount
$324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $198 |
| Astellas Pharma US Inc | $95 |
| GlaxoSmithKline, LLC. | $16 |
| Abbott Laboratories | $15 |
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 |
|---|---|---|---|---|
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 2,892 | 135 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 1,327 | 260 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,290 | 305 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 952 | 484 | $0 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 366 | 120 | $0 |
Insurance plans in this area (ZIP 85364)
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Provider's Procedures
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