Unknown Individual – Ophthalmology Physician, NPI 1457343550

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Ophthalmology Physician. They hold a License No. 24324 (KY). The NPI Number for Unknown Individual is 1457343550

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457343550
Phone
(502) 893-9825
Address
3950 KRESGE WAY
Deactivation Date
23 October 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
5028939825
Graduation Year
1983 (43 years ago)
PAC ID
8123285814
Group Practice PAC ID
7911937438
Professional Enrollment ID
I20120208000395
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

  • Baptist Health Louisville, 4000, Kresge Way, Springlee, Louisville, Jefferson County, Kentucky, 40207, United States

    SUITE 105

    LOUISVILLE, KY 402074637

    Phone: (502) 893-9825

    Fax: (502) 893-3519

    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 4 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2023-09-18 • Largest payer in this snapshot: Ocular Therapeutix, Inc. ($35).

Total Amount

$91

General + Research + Ownership

Payments

4

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-18

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
99213Established patient office or other outpatient visit, 20-29 minutes327293$0
92083Exam of visual field with extended testing126124$0
92133Imaging of optic nerve6666$0
92134Imaging of retina5655$0
99214Established patient office or other outpatient visit, 30-39 minutes5048$0
View full utilization report →

Insurance plans in this area (ZIP 40207)

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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
OPHTHALMOLOGYKY92012Eye and medical examination for diagnosis and treatment, established patient497323
OPHTHALMOLOGYKY92083Measurement of field of vision during daylight conditions269264
OPHTHALMOLOGYKY92134Diagnostic imaging of retina158147

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: 7911937438View full group profile
NameSpecialtyState
-KY

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1457343550 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Louisville, Kentucky for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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