Unknown Individual – Medical Physician Assistant, NPI 1073619268
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
1200 W WHITE RIVER BLVD
MUNCIE, IN 473034988
Phone: (877) 668-5621
Type: Mailing
Prophetstown Aquatic Center, 5545, Swisher Road, West Lafayette, Tippecanoe County, Indiana, 47906, United States
LAFAYETTE, IN 479035545
Phone: (765) 448-8000
Type: Mailing
2600, Ferry Street, Lafayette, Tippecanoe County, Indiana, 47904, United States
LAFAYETTE, IN 47904
Phone: (765) 448-8000
Fax: (765) 448-8858
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2023-07-31 • Largest payer in this snapshot: Mannkind Corporation ($34).
Total Amount
$70
General + Research + Ownership
Payments
4
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mannkind Corporation | $34 |
| Abbott Laboratories | $21 |
| Novo Nordisk Inc | $15 |
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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 3,360 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 386 | 234 | $0 |
| 83036 | Hemoglobin a1c level | 98 | 75 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 57 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
Insurance plans in this area (ZIP 47303)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | KY | |
| Physician Assistant | IN | |
| Physician Assistant | MI | |
| Internal Medicine | IN | |
| Anesthesiology, Pain Management | TN | |
| Internal Medicine, Hospitalist | IN | |
| U R O L O G Y | NC | |
| Nurse Practitioner | 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.