Unknown Individual – Internal Medicine Physician, NPI 1023009602
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States
2ND FL
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
57, Union Street, Westfield, Hampden County, Massachusetts, 01085-3899, United States
WESTFIELD, MA 010852658
Phone: (413) 572-6050
Fax: (413) 568-1097
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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.
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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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 206 | 137 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 128 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 94 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 52 | 52 | $0 |
| G0009 | Administration of pneumococcal vaccine | 40 | 40 | $0 |
Insurance plans in this area (ZIP 01199)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MA | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| General Surgery | MA |
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