Unknown Individual – Gastroenterology Physician, NPI 1619064284
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1300 MICCOSUKEE RD
TALLAHASSEE, FL 323085054
Phone: (850) 431-4556
Fax: (850) 431-6315
Type: Mailing
2601 W Main St
Carbondale, IL 629011031
Phone: (618) 549-5361
Fax: (618) 351-4878
Type: Location
4309 102nd St
Lubbock, TX 794235708
Phone: (806) 761-0747
Fax: (806) 761-0751
Type: Location
1005, Broadway Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623012834
Phone: (217) 223-8400
Type: Mailing
927, Broadway Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623012719
Phone: (217) 214-6230
Fax: (217) 214-5854
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $59,935.
Total Amount is formed as General ($59,935) + Research ($0) + Ownership ($0) = $59,935.
Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($59,681).
Total Amount
$59,935
General + Research + Ownership
Payments
35
Total payment records
General Amount
$59,935
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $59,681 |
| Medtronic, Inc. | $154 |
| GENZYME CORPORATION | $78 |
| Phathom Pharmaceuticals, Inc. | $23 |
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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 69 | 67 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 59 | 58 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | 39 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 41 | 40 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 41 | 31 | $0 |
Insurance plans in this area (ZIP 32308)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| D E R M A T O L O G Y | TX | |
| - | NY | |
| - | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| - | TX |
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