Unknown Individual – Neurological Surgery Physician, NPI 1740244813

Unknown Individual is a healthcare provider. based in Saint louis, Missouri. specializing in Neurological Surgery Physician. They hold a License No. 2003007025 (MO). The NPI Number for Unknown Individual is 1740244813

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740244813
Phone
(314) 878-2888
Address
P O BOX 504178
Deactivation Date
26 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
3148782888
Graduation Year
1996 (30 years ago)
PAC ID
4284664780
Group Practice PAC ID
2769412246
Professional Enrollment ID
I20050815000697

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
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

Provider Addresses for Unknown Individual

  • P O BOX 504178

    SAINT LOUIS, MO 631500001

    Phone: (314) 878-2888

    Fax: (314) 576-8187

    Type: Mailing

  • One Hospital Dr

    Columbia, MO 652120001

    Phone: (573) 882-4908

    Fax: (573) 884-5184

    Type: Location

  • 3 Saint Elizabeth Blvd Ste 3900

    O Fallon, IL 622691282

    Phone: (888) 828-8608

    Fax: (314) 558-9017

    Type: Location

  • 112 Piper Hill Dr Ste 12

    Saint Peters, MO 633761690

    Phone: (888) 828-8608

    Fax: (314) 558-9017

    Type: Location

  • 5301 VETERANS MEMORIAL PKWY STE 105

    SAINT PETERS, MO 633763429

    Phone: (888) 828-8608

    Type: Mailing

  • St. Luke's Hospital, 232, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    SUITE 400 EAST

    CHESTERFIELD, MO 630173417

    Phone: (314) 878-2888

    Fax: (314) 576-8187

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $6,775.

Total Amount is formed as General ($6,775) + Research ($0) + Ownership ($0) = $6,775.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Globus Medical, Inc. ($2,359).

Total Amount

$6,775

General + Research + Ownership

Payments

75

Total payment records

General Amount

$6,775

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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
99215Established patient office or other outpatient visit, 40-54 minutes5345$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion3926$0
99214Established patient office or other outpatient visit, 30-39 minutes2924$0
22633Fusion of spine in lower back with partial removal of spine bone and disc1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 63150)

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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: 2769412246View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Physician AssistantOH
Physician AssistantMO
N E U R O L O G YMO
Physician AssistantMO
N E U R O L O G YMO
N E U R O S U R G E R YMO
N E U R O S U R G E R YIN
-MO

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1740244813.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Neurological Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Saint Louis, Missouri may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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