Unknown Individual – Interventional Pain Medicine Physician, NPI 1073558599

Unknown Individual is a healthcare provider. based in Greenwood, Indiana. specializing in Interventional Pain Medicine Physician. They hold a License No. 036114154 (IL). The NPI Number for Unknown Individual is 1073558599

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073558599
Phone
(317) 881-9792
Address
223 S STATE ROAD 135
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178819792
Graduation Year
1988 (38 years ago)
PAC ID
2567435613
Group Practice PAC ID
9830371731
Professional Enrollment ID
I20040915000211
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 135, Bradley Street, Troy, Greenwood County, South Carolina, 29848, United States

    GREENWOOD, IN 461421421

    Phone: (317) 881-9792

    Fax: (317) 881-9792

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2023-05-30 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($22).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

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
J3300Injection, triamcinolone acetonide, preservative free, 1 mg96820$0
99213Established patient office or other outpatient visit, 20-29 minutes19158$0
80307Testing for presence of drug, by chemistry analyzers16262$0
99214Established patient office or other outpatient visit, 30-39 minutes9442$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms6331$0
View full utilization report →

Insurance plans in this area (ZIP 46142)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Interventional Pain Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIN76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2922

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: 9830371731View full group profile
NameSpecialtyState
-IN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1073558599 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Greenwood, Indiana because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

GREGORY SCOTT MASIMORE (MD)

Pain Medicine Physician
Executive Park Drive, Greenwood, Johnson County, Indiana, 46143, United States
NPI: 1104878982

Greenwood Pain Management

Interventional Pain Medicine Physician
223 S STATE ROAD 135
NPI: 1598953317

SCOTT SANG WON KIM (M.D.)

Interventional Pain Medicine Physician
8805, North Meridian Street, College Crest, Spring Hollow, Indianapolis, Marion County, Indiana, 46260, United States
NPI: 1164650461

PAIN MANAGEMENT SOLUTION LLC

Pain Medicine Physician
730 EXECUTIVE PARK DR STE A
NPI: 1669789889

PAIN MANAGEMENT SOLUTION LLC

Pain Medicine Physician
730 EXECUTIVE PARK DR STE A
NPI: 1396037255

Commonwealth Pain and Spine

Interventional Pain Medicine Physician
10 Enterprise Blvd Ste 201
NPI: 1306280177

BRIAN DAVID BAER (NP-C)

Interventional Pain Medicine Physician
223 S STATE ROAD 135
NPI: 1093189672

MS. SUSAN ELIZABETH SIPES (RN, MSN, AGPCNP-C)

Interventional Pain Medicine Physician
201, County Line Road, Phoenix, Greenwood County, South Carolina, 29819, United States
NPI: 1801335591

PAIN MANAGEMENT SOLUTION LLC

Pain Medicine Physician
Executive Park Drive, Greenwood, Johnson County, Indiana, 46143, United States
NPI: 1871050781