Unknown Individual – Anesthesiology Physician, NPI 1649387531
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
209, South Main Street, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639015831
Phone: (573) 686-5550
Type: Mailing
Harry S. Truman Memorial Veterans’ Hospital, 800, Hospital Drive, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 652015275
Phone: (573) 814-6000
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Rayner Intraocular Lenses Limited | $17 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 797 | 571 | $0 |
| 00145 | Anesthesia for retinal surgery | 66 | 66 | $0 |
Insurance plans in this area (ZIP 63901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO |
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