Unknown Individual – Internal Medicine Physician, NPI 1780677401
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
PORT CHARLOTTE, FL 339495659
Phone: (941) 629-7777
Fax: (941) 629-8170
Type: Mailing
2525, Harbor Boulevard, Port Charlotte, Charlotte County, Florida, 33952, United States
308
PORT CHARLOTTE, FL 339525317
Phone: (941) 629-7777
Fax: (941) 629-8170
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 | 847 | 302 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 634 | 217 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 291 | 172 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 106 | 80 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 94 | 73 | $0 |
Insurance plans in this area (ZIP 33949)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 83036 | Hemoglobin A1C level | 189 | 118 |
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