Unknown Individual – Neurology Physician, NPI 1861455065

Unknown Individual is a healthcare provider. based in Duluth, Minnesota. specializing in Neurology Physician. They hold a License No. 35758 (MN). The NPI Number for Unknown Individual is 1861455065

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861455065
Phone
(218) 722-1122
Address
1000 E 1ST ST
Deactivation Date
18 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2187221122
Graduation Year
1987 (39 years ago)
PAC ID
0648222190
Group Practice PAC ID
7012969561
Professional Enrollment ID
I20100327000120
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1000, East 1st Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    SUITE 202

    DULUTH, MN 558052297

    Phone: (218) 722-1122

    Fax: (218) 722-0600

    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 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: UCB, Inc. ($20).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$20
ARGENX US, INC.$15
View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95886Needle measurement of electrical activity in arm or leg muscles, complete study270176$0
99204New patient office or other outpatient visit, 45-59 minutes8181$0
99205New patient office or other outpatient visit, 60-74 minutes6969$0
95913Nerve conduction, 13 or more studies6464$0
95912Nerve conduction, 11-12 studies5454$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Provider's Procedures

Unknown Individual performs procedures in Neurology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYMN95910Nerve transmission studies, 7-8 studies2929

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1861455065.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Duluth, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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