Unknown Individual – Family Medicine Physician, NPI 1538160411
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 25487
SARASOTA, FL 342772487
Phone: (941) 423-1111
Fax: (941) 423-2274
Type: Mailing
14876, Tamiami Trail, North Port, Sarasota County, Florida, 34287, United States
NORTH PORT, FL 342872701
Phone: (941) 423-1111
Fax: (941) 423-2274
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 $441.
Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.
Last reported payment date: 2024-09-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($133).
Total Amount
$441
General + Research + Ownership
Payments
22
Total payment records
General Amount
$441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-22
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 | 291 | 150 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 141 | 86 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 74 | 74 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 68 | 46 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 68 | 68 | $0 |
Insurance plans in this area (ZIP 34277)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AR | |
| Internal Medicine | FL | |
| Physician Assistant | TX | |
| Family Practice | PA | |
| Family Practice | FL | |
| Diagnostic Radiology | FL | |
| - | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL |
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