Unknown Individual – Family Medicine Physician, NPI 1245281831
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1121, University Drive, Edwardsville, Madison County, Illinois, 62025, United States
EDWARDSVILLE, IL 620255543
Phone: (618) 655-9523
Fax: (618) 655-9526
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 122 Open Payments records for all available years, with a total value of $1,976.
Total Amount is formed as General ($1,976) + Research ($0) + Ownership ($0) = $1,976.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: ABBVIE INC. ($446).
Total Amount
$1,976
General + Research + Ownership
Payments
122
Total payment records
General Amount
$1,976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $446 |
| Lilly USA, LLC | $287 |
| Novo Nordisk Inc | $172 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $168 |
| PFIZER INC. | $163 |
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 | 54 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 34 | $0 |
Insurance plans in this area (ZIP 62025)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 83036 | Hemoglobin A1C level | 45 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| - | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| - | IL | |
| - | MI | |
| - | IL |
Reviews
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