Unknown Individual – Family Medicine Physician, NPI 1386674703

Unknown Individual is a healthcare provider. based in Lawrenceburg, Kentucky. specializing in Family Medicine Physician. They hold a License No. 40241 (KY). The NPI Number for Unknown Individual is 1386674703

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386674703
Phone
(502) 839-4091
Address
1080 GLENSBORO RD
Deactivation Date
28 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5028594200
Graduation Year
2003 (23 years ago)
PAC ID
5799739835
Group Practice PAC ID
2668454323
Professional Enrollment ID
I20060926000432
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

  • 1080, Glensboro Road, Lawrenceburg, Anderson County, Kentucky, 40342, United States

    LAWRENCEBURG, KY 403429033

    Phone: (502) 839-4091

    Type: Location

  • Frankfort Post Office, 21201, South Elsner Road, Frankfort, Will County, Illinois, 60423, United States

    FRANKFORT, KY 406044168

    Phone: (502) 223-5811

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 151 Open Payments records for all available years, with a total value of $2,427.

Total Amount is formed as General ($2,427) + Research ($0) + Ownership ($0) = $2,427.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($426).

Total Amount

$2,427

General + Research + Ownership

Payments

151

Total payment records

General Amount

$2,427

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
99214Established patient office or other outpatient visit, 30-39 minutes538243$0
36415Insertion of needle into vein for collection of blood sample142124$0
99213Established patient office or other outpatient visit, 20-29 minutes9977$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9620$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6262$0
View full utilization report →

Insurance plans in this area (ZIP 40342)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKY83036Hemoglobin A1C level9466
FAMILY MEDICINEKY85610Blood test, clotting time11624

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: 2668454323View full group profile
NameSpecialtyState
-KY
-KY

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1386674703 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Lawrenceburg, Kentucky in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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