Unknown Individual – Orthopaedic Surgery Physician, NPI 1912944497

Unknown Individual is a healthcare provider. based in Springfield, Missouri. specializing in Orthopaedic Surgery Physician. They hold a License No. R2B35 (MO). The NPI Number for Unknown Individual is 1912944497

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912944497
Phone
(417) 875-3000
Address
PO BOX 9007
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4178753000
Graduation Year
1982 (44 years ago)
PAC ID
3072543883
Group Practice PAC ID
8628092897
Professional Enrollment ID
I20050820000123
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658089007

    Phone: (417) 875-3000

    Type: Mailing

  • 3555, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658077310

    Phone: (417) 875-3800

    Fax: (417) 875-3177

    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 $245.

Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($245).

Total Amount

$245

General + Research + Ownership

Payments

1

Total payment records

General Amount

$245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

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
73564X-ray of knee, 4 or more views9391$0
99213Established patient office or other outpatient visit, 20-29 minutes8677$0
27447Replacement of knee joint, both sides of knee8681$0
99214Established patient office or other outpatient visit, 30-39 minutes4848$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
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Insurance plans in this area (ZIP 65808)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMO20610Aspiration and/or injection of large joint or joint capsule345230
ORTHOPEDIC SURGERYMO27447Repair of knee joint12261

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: 8628092897View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIL
-NC
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
General SurgeryMO
O T O L A R Y N G O L O G YWA
N E P H R O L O G YMO
Physician AssistantMO
Nurse PractitionerMO

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 1912944497.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Orthopaedic Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Springfield, Missouri in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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