Unknown Individual – Family Medicine Physician, NPI 1083664890
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
451, South Holly Street, Siloam Springs, Benton County, Arkansas, 72761, United States
SILOAM SPRINGS, AR 727613018
Phone: (479) 524-3141
Fax: (479) 524-3090
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)
CMS reports 58 Open Payments records for all available years, with a total value of $833.
Total Amount is formed as General ($833) + Research ($0) + Ownership ($0) = $833.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($233).
Total Amount
$833
General + Research + Ownership
Payments
58
Total payment records
General Amount
$833
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $233 |
| ABBVIE INC. | $229 |
| Janssen Pharmaceuticals, Inc | $78 |
| Novo Nordisk Inc | $41 |
| Lilly USA, LLC | $40 |
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 410 | 200 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 346 | 232 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 209 | 153 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 183 | 145 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 135 | 24 | $0 |
Insurance plans in this area (ZIP 72761)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AR | 85610 | Blood test, clotting time | 109 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| - | OK | |
| - | MN | |
| - | AR |
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