Unknown Individual – Physician Assistant, NPI 1730117078
Physician Assistant
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Provider Addresses for Unknown Individual
830, East 26th Avenue, New Smyrna Beach, Volusia County, Florida, 32169, United States
NEW SMYRNA BEACH, FL 321693616
Phone: (727) 623-6399
Type: Mailing
812, West Indian River Boulevard, Edgewater, Volusia County, Florida, 32141, United States
EDGEWATER, FL 321323429
Phone: (386) 426-1411
Fax: (376) 426-0457
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 | 144 | 104 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 58 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 38 | $0 |
| 76882 | Limited ultrasound scan of joint or other extremity structure except blood vessels | 23 | 17 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 14 | 12 | $0 |
Insurance plans in this area (ZIP 32169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Orthopedic Surgery | FL |
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