Unknown Individual – Allergy & Immunology Physician, NPI 1063405702
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1411, North Flagler Drive, West Palm Beach, Palm Beach County, Florida, 33401, United States
SUITE #6100
WEST PALM BEACH, FL 334013404
Phone: (561) 655-4450
Fax: (561) 655-4469
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 27 Open Payments records for all available years, with a total value of $653.
Total Amount is formed as General ($653) + Research ($0) + Ownership ($0) = $653.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($361).
Total Amount
$653
General + Research + Ownership
Payments
27
Total payment records
General Amount
$653
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,220 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 271 | 151 | $0 |
| 95117 | Professional service for multiple injections of allergen | 111 | 58 | $0 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 93 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 78 | $0 |
Insurance plans in this area (ZIP 33401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | FL | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 259 | 59 |
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