Unknown Individual – Orthopaedic Surgery Physician, NPI 1982697959

Unknown Individual is a healthcare provider. based in Fleming island, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. MD61047550 (WA). The NPI Number for Unknown Individual is 1982697959

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982697959
Phone
(904) 276-5776
Address
1747 BAPTIST CLAY DR
Deactivation Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2062236600
Graduation Year
1998 (28 years ago)
PAC ID
7810973203
Group Practice PAC ID
9830002617
Professional Enrollment ID
I20200624001632
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1747 BAPTIST CLAY DR

    SUITE 200

    FLEMING ISLAND, FL 320038502

    Phone: (904) 276-5776

    Fax: (904) 276-5958

    Type: Location

  • 1325, San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States

    SUITE 200

    JACKSONVILLE, FL 322078568

    Phone: (904) 346-3645

    Fax: (904) 276-5958

    Type: Mailing

  • 132 ABIGAIL LN

    PORT MATILDA, PA 168707153

    Phone: (814) 272-5011

    Fax: (814) 272-6531

    Type: Location

  • 100 N ACADEMY AVE

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: Stryker Corporation ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$102
View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg32045$0
20610Aspiration and/or injection of fluid from large joint12257$0
99213Established patient office or other outpatient visit, 20-29 minutes11796$0
99212Established patient office or other outpatient visit, 10-19 minutes6957$0
99441Telephone medical discussion with physician, 5-10 minutes5450$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830002617View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationWA
Internal Medicine, Critical Care (Intensivists)WA
Gastroenterology, Internal MedicineWA
-WA
-WA
Diagnostic RadiologyWA
D E R M A T O L O G YWA
-WA
Nephrology, Internal MedicineWA
Internal MedicineWA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1982697959 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Orthopaedic Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Fleming Island, Florida on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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