Unknown Individual – Orthopaedic Surgery Physician, NPI 1447239967

Unknown Individual is a healthcare provider. based in Saint joseph, Michigan. specializing in Orthopaedic Surgery Physician. They hold a License No. 4301061344 (MI). The NPI Number for Unknown Individual is 1447239967

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447239967
Phone
(269) 428-3500
Address
183 PEACE BLVD
Deactivation Date
4 December 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
2696846484
Graduation Year
1984 (42 years ago)
PAC ID
7315830965
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20040210000163
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

Provider Addresses for Unknown Individual

  • 183 PEACE BLVD

    SAINT JOSEPH, MI 490859146

    Phone: (269) 428-3500

    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 2 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-05-18 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($102).

Total Amount

$102

General + Research + Ownership

Payments

2

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$102
View all Open Payments →|Open Payments Risk Radar →

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 mg1,063184$0
99213Established patient office or other outpatient visit, 20-29 minutes532331$0
73564X-ray of knee, 4 or more views242162$0
20610Aspiration and/or injection of fluid from large joint236170$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16625$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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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 SURGERYMI27447Repair of knee joint4239
ORTHOPEDIC SURGERYMI73562X-ray of knee, 3 views214148

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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1447239967 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Orthopaedic Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Saint Joseph, Michigan?
If you are local to Saint Joseph, Michigan, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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