Unknown Individual – Internal Medicine Physician, NPI 1265414171
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6100, Saint Johns Avenue, Palatka, Putnam County, Florida, 32177, United States
SUITE A
PALATKA, FL 321773813
Phone: (386) 328-1117
Fax: (386) 325-8632
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)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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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 | 228 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 35 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 47 | 47 | $0 |
| G0008 | Administration of influenza virus vaccine | 47 | 47 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 44 | 29 | $0 |
Insurance plans in this area (ZIP 32177)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 85610 | Blood test, clotting time | 105 | 11 |
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