Unknown Individual – Physician Assistant, NPI 1821065442
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Clearvista Parkway, Vertland, Indianapolis, Indiana, 46256, United States
INDIANAPOLIS, IN 462564673
Phone: (317) 890-2000
Fax: (317) 813-1667
Type: Location
14300 E 138TH STREET, BLDG A
FISHERS, IN 460370087
Phone: (317) 813-1660
Fax: (317) 813-1667
Type: Location
14300 E 138th Street, Bldg A
Fishers, IN 460370087
Phone: (317) 813-1660
Fax: (317) 813-1667
Type: Location
679, County Line Road, Phoenix, Greenwood County, South Carolina, 29819, United States
GREENWOOD, IN 461431049
Phone: (317) 890-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2023-01-07 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($28).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $28 |
| Bayer Healthcare Pharmaceuticals Inc. | $20 |
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 46 | $0 |
| 81003 | Automated urinalysis test | 14 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 46256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Interventional Radiology | IN | |
| - | IN | |
| Nurse Practitioner | IL | |
| U R O L O G Y | IN | |
| U R O L O G Y | IN | |
| P A T H O L O G Y | AR | |
| Nurse Practitioner | IN | |
| - | IN | |
| U R O L O G Y | IN |
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