Unknown Individual – Internal Medicine Physician, NPI 1881689933
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
1027, South Main Street, West Joplin, Joplin, Jasper County, Missouri, 64801, United States
SUITE 202
JOPLIN, MO 648014527
Phone: (417) 624-0050
Fax: (417) 624-1331
Type: Mailing
1027 S Main St
Suite 202
Joplin, MO 648014527
Phone: (417) 624-0050
Fax: (417) 624-1331
Type: Location
3045 S NATIONAL AVE STE 110
SPRINGFIELD, MO 658044247
Phone: (417) 820-8991
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $702.
Total Amount is formed as General ($702) + Research ($0) + Ownership ($0) = $702.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($605).
Total Amount
$702
General + Research + Ownership
Payments
4
Total payment records
General Amount
$702
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $605 |
| ABBVIE INC. | $97 |
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 77 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 64801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 20610 | Aspiration and/or injection of large joint or joint capsule | 414 | 139 |
| INTERNAL MEDICINE | MO | 71250 | CT scan chest | 30 | 28 |
| INTERNAL MEDICINE | MO | 73630 | X-ray of foot, minimum of 3 views | 35 | 20 |
| INTERNAL MEDICINE | MO | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 335 | 21 |
| INTERNAL MEDICINE | MO | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 431 | 116 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Rheumatology, Allergy/Immunology | MO |
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