Unknown Individual – Gastroenterology Physician, NPI 1255427175

Unknown Individual is a healthcare provider. based in Pensacola, Florida. specializing in Gastroenterology Physician. They hold a License No. ME44036 (FL). The NPI Number for Unknown Individual is 1255427175

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255427175
Phone
(850) 477-8109
Address
4828 N DAVIS HWY
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8504772597
Graduation Year
1977 (49 years ago)
PAC ID
4981611175
Group Practice PAC ID
2365422664
Professional Enrollment ID
I20100611000271
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4828, North Davis Highway, Brent, Pensacola, Escambia County, Florida, 32503, United States

    PENSACOLA, FL 325032341

    Phone: (850) 477-8109

    Fax: (850) 478-2412

    Type: Mailing

  • 311, North 9th Avenue, East Hill, Pensacola, Escambia County, Florida, 32502, United States

    PENSACOLA, FL 325048770

    Phone: (850) 477-2597

    Fax: (850) 478-7941

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $354.

Total Amount is formed as General ($354) + Research ($0) + Ownership ($0) = $354.

Last reported payment date: 2023-12-19 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$354

General + Research + Ownership

Payments

22

Total payment records

General Amount

$354

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope271258$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare217214$0
99214Established patient office or other outpatient visit, 30-39 minutes135120$0
99213Established patient office or other outpatient visit, 20-29 minutes117110$0
43450Dilation of esophagus110106$0
View full utilization report →

Insurance plans in this area (ZIP 32503)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45378Diagnostic examination of large bowel using an endoscope8888
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope311309

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: 2365422664View full group profile
NameSpecialtyState
-FL
-FL
Certified Registered Nurse Anesthetist (Crna)MA
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Certified Registered Nurse Anesthetist (Crna)MS
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1255427175 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Pensacola, Florida for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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