Unknown Individual – Internal Medicine Physician, NPI 1093776668
Internal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1600 23RD ST
BEDFORD, IN 474214704
Phone: (812) 275-3331
Type: Mailing
1805 S SR 57
Washington, IN 475014326
Phone: (812) 257-7566
Fax: (812) 257-7082
Type: Location
Java Lounge, 760, Northwest Dale Avenue, Cedar Mill, Portland, Metro, Washington County, Oregon, 97229, United States
WASHINGTON, IN 475010760
Phone: (812) 254-7310
Fax: (812) 257-8602
Type: Mailing
1402, Grand Avenue, Northwest Everett, Everett, Snohomish County, Washington, 98201, United States
WASHINGTON, IN 475012122
Phone: (812) 254-7310
Fax: (812) 257-8602
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $254.
Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Kiniksa Pharmaceuticals, Ltd. ($113).
Total Amount
$254
General + Research + Ownership
Payments
3
Total payment records
General Amount
$254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kiniksa Pharmaceuticals, Ltd. | $113 |
| Medtronic, Inc. | $82 |
| AstraZeneca Pharmaceuticals LP | $59 |
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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 749 | 219 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 426 | 359 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 372 | 106 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 336 | 195 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 268 | 231 | $0 |
Insurance plans in this area (ZIP 47421)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA |
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