Unknown Individual – Family Medicine Physician, NPI 1902885460
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Medical Drive, Hannibal, Marion County, Missouri, United States
P.O. BOX 311
HANNIBAL, MO 634016877
Phone: (573) 231-3145
Fax: (573) 231-3710
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 138 Open Payments records for all available years, with a total value of $1,932.
Total Amount is formed as General ($1,932) + Research ($0) + Ownership ($0) = $1,932.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($387).
Total Amount
$1,932
General + Research + Ownership
Payments
138
Total payment records
General Amount
$1,932
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $387 |
| Amgen Inc. | $327 |
| Novo Nordisk Inc | $183 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $144 |
| GlaxoSmithKline, LLC. | $113 |
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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 366 | 237 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 165 | 138 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 146 | 109 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 146 | 124 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 117 | 105 | $0 |
Insurance plans in this area (ZIP 63401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Internal Medicine, Hospitalist | MO |
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