Unknown Individual – Plastic and Reconstructive Surgery Physician, NPI 1619947512
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
UofL Physicians Outpatient Center, 401, East Chestnut Street, Louisville, Jefferson County, Kentucky, 40202, United States
SUITE 710
LOUISVILLE, KY 402025700
Phone: (502) 583-8303
Fax: (502) 584-0302
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 10 Open Payments records for all available years, with a total value of $521.
Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.
Last reported payment date: 2023-12-20 • Largest payer in this snapshot: RTI SURGICAL, INC ($215).
Total Amount
$521
General + Research + Ownership
Payments
10
Total payment records
General Amount
$521
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RTI SURGICAL, INC | $215 |
| Smith+Nephew, Inc. | $166 |
| AXOGEN | $140 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| O P H T H A L M O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
Reviews
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