Unknown Individual – Plastic and Reconstructive Surgery Physician, NPI 1912982679
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1620, South Congress Avenue, Palm Springs, Palm Beach County, Florida, 33406, United States
STE 100
PALM SPRINGS, FL 33461
Phone: (561) 968-7111
Fax: (561) 968-1800
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 53 Open Payments records for all available years, with a total value of $1,563.
Total Amount is formed as General ($1,563) + Research ($0) + Ownership ($0) = $1,563.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: TELA Bio, Inc. ($874).
Total Amount
$1,563
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,563
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $874 |
| Mentor Worldwide LLC | $419 |
| Musculoskeletal Transplant Foundation Inc. | $71 |
| ABBVIE INC. | $70 |
| Dilon Technologies, Inc. | $51 |
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 | 90 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $0 |
Insurance plans in this area (ZIP 33461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Plastic And Reconstructive Surgery | FL | |
| Plastic And Reconstructive Surgery, General Surgery | FL | |
| Plastic And Reconstructive Surgery | FL | |
| Plastic And Reconstructive Surgery | FL |
Reviews
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