Unknown Individual – Family Medicine Physician, NPI 1609820968
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 10744
CLEARWATER, FL 337578744
Phone: (727) 532-0002
Fax: (727) 266-4943
Type: Mailing
120 PINE AVE N
OLDSMAR, FL 346774629
Phone: (813) 814-9504
Fax: (813) 635-7946
Type: Mailing
120, Pine Avenue North, Oldsmar, Pinellas County, Florida, 34677, United States
OLDSMAR, FL 346774629
Phone: (813) 814-9504
Fax: (813) 635-7946
Type: Location
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 $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-03-01 • Largest payer in this snapshot: ABBVIE INC. ($22).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $22 |
| GlaxoSmithKline, LLC. | $13 |
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 | 77 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 45 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 37 | 37 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 | 15 | $0 |
Insurance plans in this area (ZIP 33757)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
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