Unknown Individual – Addiction Medicine (Family Medicine) Physician, NPI 1124073283
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
920 N Hamilton Rd
Ste. 300
Gahanna, OH 432301757
Phone: (614) 293-2614
Fax: (614) 293-7001
Type: Location
Elsinore Place, Walnut Hills, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452021459
Phone: (513) 834-7063
Fax: (138) 731-5675
Type: Mailing
560, North Main Street, Downtown, Marion, Marion County, Ohio, 43302, United States
MARION, OH 433022331
Phone: (513) 834-7063
Fax: (513) 873-1567
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Alkermes, Inc. ($49).
Total Amount
$93
General + Research + Ownership
Payments
5
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $49 |
| Braeburn Inc. | $31 |
| Orexo US, Inc. | $13 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 11 | $0 |
Insurance plans in this area (ZIP 43230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH |
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