Unknown Individual – Internal Medicine Physician, NPI 1184669558
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 296
AVON LAKE, OH 440120296
Phone: (440) 934-5443
Fax: (440) 934-1077
Type: Mailing
5311 MEADOW LANE CT
SUITE 3
ELYRIA, OH 440351485
Phone: (440) 934-5443
Fax: (440) 934-1077
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $6.
Total Amount is formed as General ($6) + Research ($0) + Ownership ($0) = $6.
Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($6).
Total Amount
$6
General + Research + Ownership
Payments
2
Total payment records
General Amount
$6
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $6 |
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 | 314 | 99 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 302 | 31 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 275 | 42 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 68 | 21 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 68 | 21 | $0 |
Insurance plans in this area (ZIP 44012)
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