Unknown Individual – Family Medicine Physician, NPI 1952395451

Family Medicine Physician

Unknown Individual is a healthcare provider. based in Lewes, Delaware. specializing in Family Medicine Physician. They hold a License No. C2-0013654 (DE). The NPI Number for Unknown Individual is 1952395451

Main info

Organization

Inactive

34 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1952395451

Phone

(302) 313-2298

Address

1515 SAVANNAH RD

Deactivation Date

15 November 2024

Doctor Profile

Medical School Name

UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE

Secondary Phone

7032578090

Graduation Year

1992 (34 years ago)

PAC ID

6204018351

Group Practice PAC ID

4385682061

Professional Enrollment ID

I20120120000385

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience23

Completeness75

Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

Savannah Road, Highland Acres, Lewes, Sussex County, Delaware, 19958, United States
LEWES, DE 199581675
Phone: (302) 313-2298
Fax: (302) 645-3691
Type: Mailing
8100 Ashton Ave
Suite 101
Manassas, VA 20109
Phone: (703) 257-8090
Fax: (703) 257-7822
Type: Location
Docs Place, Creekside, Millville, Sussex County, Delaware, 19967, United States
MILLVILLE, DE 199676975
Phone: (302) 539-4302
Fax: (302) 539-4305
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,374.

Total Amount is formed as General ($1,374) + Research ($0) + Ownership ($0) = $1,374.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($258).

Total Amount

$1,374

General + Research + Ownership

Payments

Total payment records

General Amount

$1,374

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
GlaxoSmithKline, LLC.	$258
E.R. Squibb & Sons, L.L.C.	$254
Lilly USA, LLC	$229
Amgen Inc.	$112
ABBVIE INC.	$77

View all Open Payments →|Open Payments Risk Radar →

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	579	398	$0
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	401	401	$0
99213	Established patient office or other outpatient visit, 20-29 minutes	246	196	$0
90739	Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	129	80	$0
G0010	Administration of hepatitis b vaccine	129	80	$0

View full utilization report →

Insurance plans in this area (ZIP 19958)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	VA	90670	Pneumococcal vaccine for injection into muscle	25	25
FAMILY MEDICINE	VA	97140	Manual (physical) therapy techniques to 1 or more regions, each 15 minutes	43	22

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4385682061View full group profile

Name	Specialty	State
MR. RYAN TIMOTHY PYLES (PA-C, MPAS)	Physician Assistant	VA
BETSY VASQUEZ (M.D.)	-	VA
DR. RICHARD A BERNSTEIN (M.D.)	Internal Medicine, Pulmonary Disease	MD
SHAWN PENNETTI (FNP)	-	VA
KATHLEEN W STERN (M.D.)	-	MD
ROBERT PAUL HOLMAN (MD)	-	VA
WALTER S VONPECHMANN (MD)	-	VA
VIRGINIA C WILEY (M.D.)	-	MD
JENNIFER S MCCURLEY (PA-C)	Physician Assistant	VA
DENISA IULIA MOREA MEEKMA (MMS, PA-C)	Physician Assistant	MI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1952395451 for Unknown Individual.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Lewes, Delaware?

If you are local to Lewes, Delaware, Unknown Individual may be relevant to your search.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.