Unknown Individual – Family Medicine Physician, NPI 1184617854
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Gratiot Avenue, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States
MOUNT CLEMENS, MI 480435746
Phone: (586) 468-8088
Fax: (586) 468-8283
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 5 Open Payments records for all available years, with a total value of $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($35).
Total Amount
$85
General + Research + Ownership
Payments
5
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $35 |
| ABIOMED | $20 |
| Lilly USA, LLC | $16 |
| UCB, Inc. | $14 |
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 |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 350 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 315 | 110 | $0 |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 208 | 52 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 190 | 51 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 93 | 83 | $0 |
Insurance plans in this area (ZIP 48043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 82270 | Stool analysis for blood to screen for colon tumors | 58 | 58 |
| FAMILY MEDICINE | MI | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 96 | 94 |
Reviews
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