Unknown Individual – Internal Medicine Physician, NPI 1417160086
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Cape Coral Parkway E, Cape Coral, Lee County, Florida, 33904, United States
CAPE CORAL, FL 339048545
Phone: (239) 549-2772
Fax: (239) 549-2332
Type: Location
523, Cape Coral Parkway East, Cape Coral, Lee County, Florida, 33904, United States
CAPE CORAL, FL 339048545
Phone: (239) 549-2772
Fax: (239) 549-2332
Type: Mailing
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 $1,343.
Total Amount is formed as General ($1,343) + Research ($0) + Ownership ($0) = $1,343.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($571).
Total Amount
$1,343
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,343
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 404 | 71 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 35 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| - | FL | |
| General Practice | KY |
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