Unknown Individual – Psychiatry Physician, NPI 1124006770
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Penn Avenue, Des Moines, Polk County, Iowa, 50316, United States
SUITE 408
DES MOINES, IA 503162350
Phone: (515) 263-5000
Fax: (515) 263-5001
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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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 | 530 | 219 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 182 | 105 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 112 | 59 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 50316)
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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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