Unknown Individual – Internal Medicine Physician, NPI 1003840901
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Joplin Post Office, 2nd Avenue East, Joplin, Liberty County, Montana, 59531, United States
JOPLIN, MO 648033810
Phone: (417) 455-4200
Fax: (417) 455-4314
Type: Mailing
336, South Jefferson Street, Neosho, Newton County, Missouri, 64850, United States
NEOSHO, MO 648501769
Phone: (417) 455-4200
Fax: (417) 455-4314
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $714.
Total Amount is formed as General ($714) + Research ($0) + Ownership ($0) = $714.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Novo Nordisk Inc ($241).
Total Amount
$714
General + Research + Ownership
Payments
45
Total payment records
General Amount
$714
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $241 |
| ABBVIE INC. | $113 |
| Phathom Pharmaceuticals, Inc. | $59 |
| Dexcom, Inc. | $44 |
| AIMMUNE THERAPEUTICS, INC. | $33 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| Sleep Medicine, Neurology | MO | |
| Family Practice, Hospitalist | MO | |
| - | MO | |
| General Surgery | MO | |
| Internal Medicine | MO |
Reviews
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