Unknown Individual – Internal Medicine Physician, NPI 1174630438
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
P.O. BOX 496
MOODY, ME 04054
Phone: (207) 646-8386
Fax: (207) 641-2855
Type: Mailing
277, Post Road, Charles Chase Corner, Wells, York County, Maine, 04090, United States
MOODY, ME 04054
Phone: (207) 646-8386
Fax: (207) 641-2855
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 91 | 87 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 40 | 39 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 04054)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | ME | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 35 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | NH | |
| N E U R O L O G Y | ME | |
| Family Practice, Hospitalist | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| - | ME |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.