Unknown Individual – Family Medicine Physician, NPI 1083798870

Unknown Individual is a healthcare provider. based in Kearney, Nebraska. specializing in Family Medicine Physician. They hold a License No. 18767 (NE). The NPI Number for Unknown Individual is 1083798870

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083798870
Phone
(308) 865-2141
Address
PO BOX 670
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3088652141
Graduation Year
1990 (36 years ago)
PAC ID
6608978119
Group Practice PAC ID
1951210418
Professional Enrollment ID
I20100622000887
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Kearney Regional Airport, 5145, Airport Road, Kearney, Buffalo County, Nebraska, 68847, United States

    KEARNEY, NE 68848

    Phone: (308) 865-2141

    Fax: (308) 234-7582

    Type: Mailing

  • Kearney Clinic, 211, West 33rd Street, Kearney, Buffalo County, Nebraska, 68845, United States

    KEARNEY, NE 68845

    Phone: (308) 865-2141

    Fax: (308) 234-7582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,219.

Total Amount is formed as General ($1,219) + Research ($0) + Ownership ($0) = $1,219.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($348).

Total Amount

$1,219

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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
J0897Injection, denosumab, 1 mg1,14011$0
36415Insertion of needle into vein for collection of blood sample372201$0
99214Established patient office or other outpatient visit, 30-39 minutes270153$0
99213Established patient office or other outpatient visit, 20-29 minutes222147$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit111111$0
View full utilization report →

Insurance plans in this area (ZIP 68848)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENE85610Blood test, clotting time11429
FAMILY MEDICINENE90670Pneumococcal vaccine for injection into muscle5050

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: 1951210418View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
Orthopedic SurgeryNE
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
H O S P I T A L I S TCA
N E U R O L O G YMO
U R O L O G YNE
Hospitalist, Internal MedicineIA
Family PracticeNE
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1083798870?
NPI 1083798870 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is Unknown Individual registered?
Use Kearney, Nebraska as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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