Unknown Individual – Neurological Surgery Physician, NPI 1710980370

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Neurological Surgery Physician. They hold a License No. 01052912A (IN). The NPI Number for Unknown Individual is 1710980370

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710980370
Phone
(617) 525-7777
Address
75 Francis St
Deactivation Date
5 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
4789688979
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20060830000370
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 75 Francis St

    Neurosurgery

    Boston, MA 021156110

    Phone: (617) 525-7777

    Type: Location

  • Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States

    NEUROSURGERY

    BOSTON, MA 021156110

    Phone: (617) 525-7777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $127,808.

Total Amount is formed as General ($127,808) + Research ($0) + Ownership ($0) = $127,808.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Globus Medical, Inc. ($57,041).

Total Amount

$127,808

General + Research + Ownership

Payments

35

Total payment records

General Amount

$127,808

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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
99213Established patient office or other outpatient visit, 20-29 minutes234183$0
99204New patient office or other outpatient visit, 45-59 minutes162162$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment4646$0
22614Fusion of additional segment of spine4118$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment3824$0
View full utilization report →

Insurance plans in this area (ZIP 02115)

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Provider's Procedures

Unknown Individual performs procedures in Neurological Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYMA22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments2524

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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1710980370 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Neurological Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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Unknown Individual

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850, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
NPI: 1366431579