Unknown Individual – Pulmonary Disease Physician, NPI 1285625749

Unknown Individual is a healthcare provider. based in Troy, Missouri. specializing in Pulmonary Disease Physician. They hold a License No. MO32884 (MO). The NPI Number for Unknown Individual is 1285625749

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285625749
Phone
(636) 528-3321
Address
1000 E CHERRY ST
Deactivation Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734727702
Graduation Year
1970 (56 years ago)
PAC ID
4284780529
Group Practice PAC ID
1355252891
Professional Enrollment ID
I20100716000216

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
slillard248345@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Mercy Hospital Lincoln Grounds, 1000, East Cherry Street, Troy, Lincoln County, Missouri, 63379, United States

    ATTN: 3RD FLOOR PULMONARY CLINIC

    TROY, MO 633791513

    Phone: (636) 528-3321

    Fax: (636) 528-3212

    Type: Mailing

  • 700 S Park St Ste A

    Madison, WI 537151830

    Phone: (608) 260-2900

    Fax: (608) 260-2951

    Type: Location

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: United Therapeutics Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

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
94729Test to examine how well the lungs exchange gases6260$0
99214Established patient office or other outpatient visit, 30-39 minutes5344$0
94060Test to measure expiratory airflow and volume changes before and after medication administration4139$0
94726Test to determine lung volumes using sensors3736$0
94010Test to measure expiratory airflow and volume2424$0
View full utilization report →

Insurance plans in this area (ZIP 63379)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355252891View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)AR
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
Endocrinology, Internal MedicineMO
Family PracticeMO
General SurgeryMO

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1285625749.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Troy, Missouri because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1285625749. Always confirm identity and privileges with the practice and licensing boards.

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