Unknown Individual – Internal Medicine Physician, NPI 1245288513
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Boone Hospital Center, 1600, East Broadway, Strollway, Columbia, Boone County, Missouri, 65201, United States
BOX 50
COLUMBIA, MO 652015844
Phone: (573) 815-8000
Fax: (573) 815-8556
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)
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Medicare Enrollment & Revalidation
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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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 166 | 79 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 19 | 19 | $0 |
| 99292 | Critical care, each additional 30 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 65201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CRITICAL CARE (INTENSIVISTS) | MO | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 24 | 22 |
| CRITICAL CARE (INTENSIVISTS) | MO | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 35 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Physical Therapist In Private Practice | MO | |
| - | WI | |
| Infectious Disease, Hospitalist, Internal Medicine | NM | |
| Internal Medicine, Hospitalist | MO | |
| - | MO |
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