Unknown Individual – Family Medicine Physician, NPI 1063404416
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Ankeny Boulevard, Ankeny, Polk County, Iowa, 50023-3054, United States
ANKENY, IA 500234003
Phone: (515) 964-4600
Fax: (515) 963-4142
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)
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Medicare Enrollment & Revalidation
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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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 161 | 124 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 65 | 62 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 22 | 21 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 50023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Infectious Disease, Internal Medicine | IA | |
| Family Practice | IA | |
| Internal Medicine, Hospitalist | IL | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| - | IA |
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