Unknown Individual – Orthopaedic Surgery Physician, NPI 1376507707

Unknown Individual is a healthcare provider. based in Deland, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. ME14494 (FL). The NPI Number for Unknown Individual is 1376507707

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1376507707
Phone
(386) 734-9122
Address
740 W PLYMOUTH AVE
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3867349122104
Graduation Year
1967 (59 years ago)
PAC ID
5193897890
Group Practice PAC ID
5890768535
Professional Enrollment ID
I20100122000405
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

  • 740, West Plymouth Avenue, DeLand, Volusia County, Florida, 32720, United States

    DELAND, FL 327203282

    Phone: (386) 734-9122

    Fax: (386) 736-4348

    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 3 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-03-22 • Largest payer in this snapshot: Stryker Corporation ($101).

Total Amount

$137

General + Research + Ownership

Payments

3

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-22

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg288103$0
99213Established patient office or other outpatient visit, 20-29 minutes215156$0
20610Aspiration and/or injection of fluid from large joint11590$0
99203New patient office or other outpatient visit, 30-44 minutes8989$0
99214Established patient office or other outpatient visit, 30-39 minutes5048$0
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Insurance plans in this area (ZIP 32720)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule16599

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: 5890768535View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physician AssistantFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Orthopedic SurgeryFL
-FL

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1376507707; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
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 Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Deland, Florida for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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