Unknown Individual – Family Medicine Physician, NPI 1811985237

Unknown Individual is a healthcare provider. based in Fairbury, Nebraska. specializing in Family Medicine Physician. They hold a License No. 17978 (NE). The NPI Number for Unknown Individual is 1811985237

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811985237
Phone
(402) 729-3361
Address
825 22ND ST
Deactivation Date
2 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4027293351
Graduation Year
1986 (40 years ago)
PAC ID
2365544251
Group Practice PAC ID
2668574542
Professional Enrollment ID
I20100826000452
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

  • Fairbury Clinic, 825, 22nd Street, Fairbury, Jefferson County, Nebraska, 68352, United States

    FAIRBURY, NE 683521221

    Phone: (402) 729-3361

    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 30 Open Payments records for all available years, with a total value of $452.

Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($226).

Total Amount

$452

General + Research + Ownership

Payments

30

Total payment records

General Amount

$452

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7031$0
View full utilization report →

Insurance plans in this area (ZIP 68352)

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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 MEDICINENE83036Hemoglobin A1C level7655
FAMILY MEDICINENE85610Blood test, clotting time12645

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: 2668574542View full group profile
NameSpecialtyState
Physician AssistantNE
Nephrology, HospitalistNE
Physician AssistantNE
Physician AssistantNE
Nurse PractitionerIA
Family PracticeNE
Family PracticeFL
Nurse PractitionerNE
Physician AssistantNE
Nurse PractitionerNE

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 1811985237.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Fairbury, Nebraska; more addresses can appear in NPPES.
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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