Unknown Individual – Neuromusculoskeletal Medicine & OMM Physician, NPI 1497701890

Unknown Individual is a healthcare provider. based in Beavercreek, Ohio. specializing in Neuromusculoskeletal Medicine & OMM Physician. They hold a License No. 34.013051 (OH). The NPI Number for Unknown Individual is 1497701890

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497701890
Phone
(937) 429-8620
Address
2510 COMMONS BLVD STE 240A
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374298620
Graduation Year
1982 (44 years ago)
PAC ID
7416926852
Group Practice PAC ID
6305815978
Professional Enrollment ID
I20180712002877
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

  • 2510 COMMONS BLVD STE 240A

    BEAVERCREEK, OH 454313820

    Phone: (937) 429-8620

    Fax: (937) 429-8629

    Type: Mailing

  • Beavercreek Health Center, 2510, Commons Boulevard, Beavercreek, Greene County, Ohio, 45431:45432, United States

    STE 240A

    BEAVERCREEK, OH 45431

    Phone: (937) 429-8620

    Fax: (937) 429-8629

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($328).

Total Amount

$328

General + Research + Ownership

Payments

27

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
99213Established patient office or other outpatient visit, 20-29 minutes40784$0
98928Osteopathic manipulative treatment, 7-8 body regions17958$0
98927Osteopathic manipulative treatment, 5-6 body regions15658$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
98926Osteopathic manipulative treatment, 3-4 body regions3221$0
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Insurance plans in this area (ZIP 45431)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1497701890 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Beavercreek, Ohio.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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