Unknown Individual – Family Medicine Physician, NPI 1750455564
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2600, Spring Arbor Road, Summit Hills, Summit Township, Jackson County, Michigan, 49203, United States
JACKSON, MI 492033604
Phone: (517) 788-6470
Fax: (517) 788-5547
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 1 Open Payments records for all available years, with a total value of $1.
Total Amount is formed as General ($1) + Research ($0) + Ownership ($0) = $1.
Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($1).
Total Amount
$1
General + Research + Ownership
Payments
1
Total payment records
General Amount
$1
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $1 |
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 575 | 264 | $0 |
| 83036 | Hemoglobin a1c level | 251 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 227 | 101 | $0 |
| 81003 | Automated urinalysis test | 163 | 146 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 147 | 147 | $0 |
Insurance plans in this area (ZIP 49203)
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Provider's Procedures
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