Unknown Individual – Ophthalmology Physician, NPI 1205858776

Unknown Individual is a healthcare provider. based in Garden city, Kansas. specializing in Ophthalmology Physician. They hold a License No. 13952 (KS). The NPI Number for Unknown Individual is 1205858776

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205858776
Phone
(620) 275-7248
Address
310 E WALNUT ST
Deactivation Date
28 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6202757248
Graduation Year
1967 (59 years ago)
PAC ID
6709797871
Group Practice PAC ID
7012960289
Professional Enrollment ID
I20050502000392
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 310, East Walnut Street, Garden City, Finney County, Kansas, 67846, United States

    SUITE 101

    GARDEN CITY, KS 678465560

    Phone: (620) 275-7248

    Fax: (620) 275-5262

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66821Removal of recurring cataract in lens capsule using a laser199199$0
99214Established patient office or other outpatient visit, 30-39 minutes100100$0
99213Established patient office or other outpatient visit, 20-29 minutes9393$0
99204New patient office or other outpatient visit, 45-59 minutes9191$0
92134Imaging of retina5252$0
View full utilization report →

Insurance plans in this area (ZIP 67846)

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Provider's Procedures

Unknown Individual performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYKS92134Diagnostic imaging of retina243231

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012960289View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P H T H A L M O L O G YKS
O P H T H A L M O L O G YKS
O P H T H A L M O L O G YKS
-KS

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1205858776 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Garden City, Kansas.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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