Unknown Individual – Orthopaedic Surgery Physician, NPI 1508852062
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
Franciscan Physician Network Coolspring Health Center, 1225, East Coolspring Avenue, Michigan City, LaPorte County, Indiana, 46360, United States
SUITE D
MICHIGAN CITY, IN 463606312
Phone: (219) 861-8161
Fax: (219) 873-9504
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $630.
Total Amount is formed as General ($630) + Research ($0) + Ownership ($0) = $630.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($536).
Total Amount
$630
General + Research + Ownership
Payments
4
Total payment records
General Amount
$630
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $536 |
| DePuy Synthes Sales Inc. | $94 |
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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 33 | 23 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 30 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 21 | $0 |
| 73502 | X-ray of hip, 2-3 views | 17 | 14 | $0 |
Insurance plans in this area (ZIP 48278)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 85 | 68 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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