Unknown Individual – Vascular Surgery Physician, NPI 1780746008
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
206, 49th Street North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33710, United States
ST PETERSBURG, FL 337092147
Phone: (727) 998-3467
Type: Location
West Waters Avenue, Tampa, Hillsborough County, Florida, 33634, United States
TAMPA, FL 336141852
Phone: (813) 348-9088
Fax: (813) 348-9310
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,765.
Total Amount is formed as General ($1,765) + Research ($0) + Ownership ($0) = $1,765.
Last reported payment date: 2024-02-18 • Largest payer in this snapshot: Medtronic, Inc. ($556).
Total Amount
$1,765
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $556 |
| Kerecis Limited | $428 |
| Boston Scientific Corporation | $336 |
| AngioDynamics, Inc. | $272 |
| GlaxoSmithKline, LLC. | $114 |
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.
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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 | 111 | 79 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 63 | 60 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 34 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 23 | $0 |
Insurance plans in this area (ZIP 33709)
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