Unknown Individual – Obstetrics & Gynecology Physician, NPI 1912901539
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
855, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States
CEDAR RAPIDS, IA 524025057
Phone: (319) 368-5500
Fax: (319) 368-5503
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 2 Open Payments records for all available years, with a total value of $1,391.
Total Amount is formed as General ($1,391) + Research ($0) + Ownership ($0) = $1,391.
Last reported payment date: 2023-06-08 • Largest payer in this snapshot: ABBVIE INC. ($1,391).
Total Amount
$1,391
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,391 |
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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 19 | 19 | $0 |
| 77067 | Screening mammography | 19 | 19 | $0 |
Insurance plans in this area (ZIP 52402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Nurse Practitioner | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Nurse Practitioner | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Nurse Practitioner | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA |
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