Unknown Individual – Internal Medicine Physician, NPI 1669496188
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
2101, Prevatt Street, Mount Homer, Eustis, Lake County, Florida, 32627, United States
EUSTIS, FL 327266131
Phone: (352) 589-4774
Fax: (352) 589-5092
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 6 Open Payments records for all available years, with a total value of $503.
Total Amount is formed as General ($503) + Research ($0) + Ownership ($0) = $503.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Novo Nordisk Inc ($251).
Total Amount
$503
General + Research + Ownership
Payments
6
Total payment records
General Amount
$503
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $251 |
| Penumbra, Inc. | $131 |
| Lilly USA, LLC | $121 |
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 | 1,995 | 688 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,135 | 493 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 556 | 556 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 534 | 313 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 527 | 311 | $0 |
Insurance plans in this area (ZIP 32726)
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Provider's Procedures
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