Unknown Individual – Internal Medicine Physician, NPI 1376568725
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Mount Auburn Road, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States
SUITE 103
CAPE GIRARDEAU, MO 637034926
Phone: (573) 335-2900
Fax: (573) 335-2905
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 ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 218 | 191 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 208 | 54 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 202 | 140 | $0 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 140 | 133 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 79 | 74 | $0 |
Insurance plans in this area (ZIP 63703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Pediatric Medicine, Internal Medicine | MO | |
| Nurse Practitioner | MO |
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