Unknown Individual – Gastroenterology Physician, NPI 1821072901
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 779
TAWAS CITY, MI 487640779
Phone: (989) 362-9411
Fax: (989) 362-9925
Type: Mailing
4680, East McLeod Drive, Saginaw Charter Township, Carrollton Township, Saginaw County, Michigan, 48604, United States
SAGINAW, MI 486042852
Phone: (989) 791-9133
Fax: (989) 791-9135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $672.
Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.
Last reported payment date: 2023-11-09 • Largest payer in this snapshot: ABBVIE INC. ($229).
Total Amount
$672
General + Research + Ownership
Payments
37
Total payment records
General Amount
$672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-09
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.
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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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 120 | 120 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 83 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 78 | 75 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | 28 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 25 | 24 | $0 |
Insurance plans in this area (ZIP 48764)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 56 | 54 |
| INTERNAL MEDICINE | MI | 45378 | Diagnostic examination of large bowel using an endoscope | 16 | 16 |
| INTERNAL MEDICINE | MI | 45385 | Removal of polyps or growths of large bowel using an endoscope | 148 | 145 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| Physician Assistant | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Cardiac Electrophysiology | MI | |
| Neurology, Neuropsychiatry | MI | |
| - | MI | |
| - | MI | |
| Rheumatology, Internal Medicine | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| P O D I A T R Y | MI |
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