Unknown Individual – Internal Medicine Physician, NPI 1154314029
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
Waldon Road, Village of Clarkston, Oakland County, Michigan, 48346, United States
CLARKSTON, MI 483464806
Phone: (810) 424-2411
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)
CMS reports 204 Open Payments records for all available years, with a total value of $3,995.
Total Amount is formed as General ($3,995) + Research ($0) + Ownership ($0) = $3,995.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($855).
Total Amount
$3,995
General + Research + Ownership
Payments
204
Total payment records
General Amount
$3,995
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $855 |
| AstraZeneca Pharmaceuticals LP | $513 |
| Novo Nordisk Inc | $371 |
| ABBVIE INC. | $272 |
| Bayer Healthcare Pharmaceuticals Inc. | $134 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 398 | 193 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 298 | 155 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 158 | 36 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 155 | 109 | $0 |
| 99497 | Advance care planning, first 30 minutes | 113 | 113 | $0 |
Insurance plans in this area (ZIP 48346)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WV | 81002 | Urinalysis, manual test | 49 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Physical Therapist In Private Practice | MI |
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