Unknown Individual – Internal Medicine Physician, NPI 1750383543
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Fax: (417) 829-4316
Type: Mailing
2115, South Fremont Avenue, Meador Park, Springfield, Greene County, Missouri, 65804, United States
STE 2300
SPRINGFIELD, MO 658042239
Phone: (417) 820-5600
Fax: (417) 820-5606
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 $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2024-01-29 • Largest payer in this snapshot: ATRICURE, INC. ($85).
Total Amount
$85
General + Research + Ownership
Payments
1
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $85 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 591 | 436 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 365 | 365 | $0 |
| G0008 | Administration of influenza virus vaccine | 58 | 56 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 54 | 52 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 43 | 17 | $0 |
Insurance plans in this area (ZIP 65801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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