Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1568452381

Unknown Individual is a healthcare provider. based in West palm beach, Florida. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold a License No. ME0035354 (FL). The NPI Number for Unknown Individual is 1568452381

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568452381
Phone
(561) 845-6000
Address
4440 BEACON CIR
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
5618456000
Graduation Year
1978 (48 years ago)
PAC ID
0840332508
Group Practice PAC ID
7012950538
Professional Enrollment ID
I20100925000255
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

  • 4440, Beacon Circle, West Palm Beach, Palm Beach County, Florida, 33407, United States

    SUITE 100

    WEST PALM BEACH, FL 334073243

    Phone: (561) 845-6000

    Fax: (561) 845-6916

    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 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-06-05 • Largest payer in this snapshot: Vericel Corporation ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Vericel Corporation$50
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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28914$0
99213Established patient office or other outpatient visit, 20-29 minutes11356$0
J1030Injection, methylprednisolone acetate, 40 mg5422$0
20610Aspiration and/or injection of fluid from large joint2718$0
99212Established patient office or other outpatient visit, 10-19 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 33407)

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Provider's Procedures

Unknown Individual performs procedures in Sports Medicine (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 capsule10436
ORTHOPEDIC SURGERYFL97001Physical therapy evaluation3327
ORTHOPEDIC SURGERYFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes15926

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: 7012950538View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
P O D I A T R YFL
Orthopedic Surgery, Sports MedicineFL
Orthopedic SurgeryFL
Physical Medicine And RehabilitationFL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1568452381 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.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display West Palm Beach, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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