Unknown Individual – Family Medicine Physician, NPI 1770538217
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 6848 PMB 278
BIG BEAR LAKE, CA 92315
Phone: (909) 866-5868
Fax: (909) 866-5860
Type: Mailing
41933 Big Bear Blvd.
Big Bear Lake, CA 923151649
Phone: (909) 866-5868
Fax: (909) 866-5860
Type: Location
41945 BIG BEAR BLVD STE 200
BIG BEAR LAKE, CA 923152030
Phone: (909) 866-5868
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2023-11-22 • Largest payer in this snapshot: PFIZER INC. ($24).
Total Amount
$41
General + Research + Ownership
Payments
2
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $24 |
| GlaxoSmithKline, LLC. | $17 |
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 | 571 | 181 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 374 | 148 | $0 |
| 81002 | Urinalysis, manual test | 114 | 60 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 16 | 11 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 92315)
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Provider's Procedures
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