Unknown Individual – Podiatrist, NPI 1306035027

Unknown Individual is a healthcare provider. based in Eaton, Ohio. specializing in Podiatrist. They hold a License No. 1962-0H (OH). The NPI Number for Unknown Individual is 1306035027

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306035027
Phone
(937) 472-0102
Address
227 N BARRON ST
Deactivation Date
24 April 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
6901828961
Professional Enrollment ID
I20090820000921
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

  • 227, North Barron Street, Eaton, Preble County, Ohio, 45320, United States

    EATON, OH 453201703

    Phone: (937) 472-0102

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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
11721Removal of fingernails or toenails, 6 or more nails531226$0
11720Removal of fingernails or toenails, 1-5 nails255100$0
99212Established patient office or other outpatient visit, 10-19 minutes8650$0
11056Removal of noncancer thickened skin growth, 2-4 growths3924$0
99202New patient office or other outpatient visit, 15-29 minutes3333$0
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Insurance plans in this area (ZIP 45320)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYOH11720Removal of tissue from 1 to 5 finger or toe nails206129

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1306035027 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Eaton, Ohio for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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