Unknown Individual – Anesthesiology Physician, NPI 1609827815
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012218
Phone: (800) 242-1131
Fax: (517) 787-4146
Type: Mailing
Morris Hospital, 150, West High Street, Morris, Grundy County, Illinois, 60450, United States
MORRIS, IL 604501463
Phone: (630) 472-8800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $358.
Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.
Last reported payment date: 2024-05-28 • Largest payer in this snapshot: Boston Scientific Corporation ($157).
Total Amount
$358
General + Research + Ownership
Payments
8
Total payment records
General Amount
$358
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-28
Latest reported date
Top Companies
Largest payers in this snapshot
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 |
|---|---|---|---|---|
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 82 | 82 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 66 | 64 | $0 |
| 00142 | Anesthesia for lens surgery | 59 | 55 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 53 | 53 | $0 |
| 01480 | Anesthesia for other procedure on lower leg, ankle, and foot bones | 24 | 24 | $0 |
Insurance plans in this area (ZIP 49201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | MI |
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