Unknown Individual – Hospitalist Physician, NPI 1154406437
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
6700 N. LINDER ROAD, SUITE 156, BOX 288
MERIDIAN, ID 83646
Phone: (903) 714-7141
Fax: (903) 596-7778
Type: Mailing
1434 E SONTERRA BLVD
SAN ANTONIO, TX 782584971
Phone: (210) 402-3456
Fax: (210) 402-3233
Type: Mailing
2131, South Bonito Way, El Dorado Business Campus, Meridian, Ada County, Idaho, 83642, United States
MERIDIAN, ID 83642
Phone: (903) 714-7141
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $1,955.
Total Amount is formed as General ($1,955) + Research ($0) + Ownership ($0) = $1,955.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Lilly USA, LLC ($384).
Total Amount
$1,955
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,955
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $384 |
| Nevro Corp. | $346 |
| Amgen Inc. | $250 |
| ABBVIE INC. | $242 |
| Janssen Pharmaceuticals, Inc | $215 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 212 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 76 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 32 | 32 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 83646)
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