Unknown Individual – Surgery Physician, NPI 1548494115

Unknown Individual is a healthcare provider. based in Morehead, Kentucky. specializing in Surgery Physician. They hold a License No. 47291 (KY). The NPI Number for Unknown Individual is 1548494115

Main info

Organization
Inactive
17 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548494115
Phone
(606) 784-7551
Address
425 Clinic Dr
Deactivation Date
26 June 2025

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8143732310
Graduation Year
2009 (17 years ago)
PAC ID
5496970865
Group Practice PAC ID
9638078504
Professional Enrollment ID
I20180227002977
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 425 Clinic Dr

    Morehead, KY 403511077

    Phone: (606) 784-7551

    Fax: (606) 784-2542

    Type: Location

  • Meadville Medical Center Grove Street, 1034, Grove Street, Neason Hill, Meadville, Crawford County, Pennsylvania, 16335, United States

    MEADVILLE, PA 163352945

    Phone: (814) 373-3434

    Fax: (814) 373-2152

    Type: Mailing

  • Liberty Street, Meadville, Crawford County, Pennsylvania, 16335, United States

    MEADVILLE, PA 163352567

    Phone: (814) 373-3434

    Fax: (814) 373-2152

    Type: Location

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 $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Innovation Technologies Inc ($61).

Total Amount

$125

General + Research + Ownership

Payments

4

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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
97597Removal of tissue from wound, 20.0 sq cm or less7627$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes3931$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3220$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 40351)

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Provider's Procedures

Unknown Individual performs procedures in Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYKY36556Insertion of central venous catheter for infusion, patient 5 years or older1414

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: 9638078504View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
-PA
Diagnostic RadiologyPA
Cardiovascular Disease (Cardiology), Internal MedicinePA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine, Internal MedicinePA
Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear MedicinePA
Occupational Therapist In Private PracticePA
Nurse PractitionerPA
Physician AssistantPA

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1548494115 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Morehead, Kentucky in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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