Unknown Individual – Ophthalmology Physician, NPI 1689792228
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
25511 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 480813372
Phone: (586) 774-2020
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 19 Open Payments records for all available years, with a total value of $13,322.
Total Amount is formed as General ($13,322) + Research ($0) + Ownership ($0) = $13,322.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Baxter Healthcare ($13,153).
Total Amount
$13,322
General + Research + Ownership
Payments
19
Total payment records
General Amount
$13,322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $13,153 |
| Tarsus Pharmaceuticals, Inc. | $65 |
| Mallinckrodt Hospital Products Inc. | $44 |
| Amgen Inc. | $29 |
| Horizon Therapeutics plc | $18 |
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 | 86 | 73 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 38 | $0 |
| 92133 | Imaging of optic nerve | 35 | 34 | $0 |
| 92250 | Photography of the retina | 30 | 28 | $0 |
| 92083 | Exam of visual field with extended testing | 29 | 27 | $0 |
Insurance plans in this area (ZIP 48081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI |
Reviews
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