Unknown Individual – General Practice Physician, NPI 1700842499
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
650, West Plymouth Avenue, DeLand, Volusia County, Florida, 32720, United States
DELAND, FL 327203260
Phone: (386) 873-4771
Fax: (386) 873-4772
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 30 Open Payments records for all available years, with a total value of $601.
Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($246).
Total Amount
$601
General + Research + Ownership
Payments
30
Total payment records
General Amount
$601
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,544 | 295 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 1,051 | 337 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 922 | 305 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 148 | 125 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 91 | 91 | $0 |
Insurance plans in this area (ZIP 32720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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