Unknown Individual – Internal Medicine Physician, NPI 1194709907
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Union Avenue, Dover, Tuscarawas County, Ohio, 44622, United States
SUITE 187
DOVER, OH 446223004
Phone: (330) 343-4411
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 49 Open Payments records for all available years, with a total value of $837.
Total Amount is formed as General ($837) + Research ($0) + Ownership ($0) = $837.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($90).
Total Amount
$837
General + Research + Ownership
Payments
49
Total payment records
General Amount
$837
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $90 |
| PFIZER INC. | $68 |
| Dexcom, Inc. | $63 |
| Xeris Pharmaceuticals, Inc. | $62 |
| ABBVIE INC. | $56 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44622)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 81002 | Urinalysis, manual test | 30 | 27 |
| INTERNAL MEDICINE | OH | 83036 | Hemoglobin A1C level | 286 | 180 |
| INTERNAL MEDICINE | OH | 85610 | Blood test, clotting time | 559 | 85 |
| INTERNAL MEDICINE | OH | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 929 | 543 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Registered Dietitian Or Nutrition Professional | OH | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| General Surgery, Vascular Surgery | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Registered Dietitian Or Nutrition Professional | OH |
Reviews
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