Unknown Individual – Neurology Physician, NPI 1144311994
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 643-9299
Fax: (937) 643-2343
Type: Mailing
3700 Southern Blvd Ste 300
Kettering, OH 454291226
Phone: (937) 643-9299
Fax: (937) 643-2343
Type: Location
2231, Carew Street, Fort Wayne, Allen County, Indiana, 46805, United States
FORT WAYNE, IN 468054713
Phone: (260) 425-6780
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,012.
Total Amount is formed as General ($1,012) + Research ($0) + Ownership ($0) = $1,012.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($338).
Total Amount
$1,012
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,012
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $338 |
| Neurelis, Inc. | $105 |
| UCB, Inc. | $91 |
| SK Life Science, Inc. | $70 |
| Lilly USA, LLC | $57 |
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 | 23 | 18 | $0 |
Insurance plans in this area (ZIP 45342)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | SC | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 30 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
Reviews
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