Unknown Individual – Family Medicine Physician, NPI 1194768960
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
1002, Edgewood Drive, Knox, Starke County, Indiana, 46534, United States
KNOX, IN 465348226
Phone: (574) 772-6030
Fax: (574) 772-7494
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 4 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2023-09-18 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($30).
Total Amount
$64
General + Research + Ownership
Payments
4
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $30 |
| UCB, Inc. | $19 |
| Lilly USA, LLC | $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.
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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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 169 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 63 | 63 | $0 |
Insurance plans in this area (ZIP 46534)
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