Unknown Individual – Family Medicine Physician, NPI 1700826153
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
501, Teaco Road, Kennett, Dunklin County, Missouri, 63857, United States
STE B
KENNETT, MO 63857
Phone: (573) 888-8828
Fax: (573) 888-8830
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)
CMS reports 17 Open Payments records for all available years, with a total value of $278.
Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.
Last reported payment date: 2023-09-04 • Largest payer in this snapshot: ABBVIE INC. ($166).
Total Amount
$278
General + Research + Ownership
Payments
17
Total payment records
General Amount
$278
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $166 |
| Merck Sharp & Dohme LLC | $32 |
| ITI, Inc. | $23 |
| Janssen Pharmaceuticals, Inc | $20 |
| Takeda Pharmaceuticals U.S.A., Inc. | $20 |
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 63857)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Emergency Medicine | MO | |
| U R O L O G Y | TN | |
| - | KY | |
| Family Practice | GA | |
| Nurse Practitioner | MO | |
| General Surgery | TN | |
| P O D I A T R Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | AR |
Reviews
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