Unknown Individual – Orthopaedic Surgery Physician, NPI 1407857576

Unknown Individual is a healthcare provider. based in Hingham, Massachusetts. specializing in Orthopaedic Surgery Physician. They hold a License No. 31709 (MA). The NPI Number for Unknown Individual is 1407857576

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407857576
Phone
(781) 337-5555
Address
2 POND PARK RD.
Deactivation Date
19 December 2024

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1967 (59 years ago)
PAC ID
7214962349
Professional Enrollment ID
I20050928000292
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

  • 2, Pond Park Road, South Shore Park, Hingham, Plymouth County, Massachusetts, 02043, United States

    STE. 102

    HINGHAM, MA 020434309

    Phone: (781) 337-5555

    Fax: (781) 331-0300

    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)

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg61674$0
99214Established patient office or other outpatient visit, 30-39 minutes15891$0
20610Aspiration and/or injection of fluid from large joint10061$0
99204New patient office or other outpatient visit, 45-59 minutes7575$0
73562X-ray of knee, 3 views2827$0
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Insurance plans in this area (ZIP 02043)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMA27447Repair of knee joint2525
ORTHOPEDIC SURGERYMA73110X-ray of wrist, minimum of 3 views3412
ORTHOPEDIC SURGERYMA73562X-ray of knee, 3 views3618

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1407857576?
NPI 1407857576 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Hingham, Massachusetts as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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