Unknown Individual – Emergency Medicine Physician, NPI 1184642431

Unknown Individual is a healthcare provider. based in Skowhegan, Maine. specializing in Emergency Medicine Physician. They hold a License No. 016774 (ME). The NPI Number for Unknown Individual is 1184642431

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184642431
Phone
(207) 858-2310
Address
PO BOX 468
Deactivation Date
14 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9074528181
Graduation Year
2002 (24 years ago)
PAC ID
7618905324
Group Practice PAC ID
1658461892
Professional Enrollment ID
I20100827000747
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

  • PO BOX 468

    SKOWHEGAN, ME 049760468

    Phone: (207) 858-2310

    Fax: (207) 474-9261

    Type: Mailing

  • Redington-Fairview General Hospital, 46, Fairview Avenue, Skowhegan, Somerset County, Maine, 04976, United States

    SKOWHEGAN, ME 049761481

    Phone: (207) 858-2310

    Fax: (207) 474-9261

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making218203$0
99285Emergency department visit with high level of medical decision making148142$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9590$0
99283Emergency department visit with low level of medical decision making3129$0
View full utilization report →

Insurance plans in this area (ZIP 04976)

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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: 1658461892View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineAK
Emergency MedicineNM
Emergency MedicineIL
Emergency MedicineUT
-AK
Emergency MedicineCA
Emergency MedicineAK
Emergency MedicineAA
Emergency MedicineWA

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1184642431 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Skowhegan, Maine.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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