Unknown Individual – Urology Physician, NPI 1689626681

Unknown Individual is a healthcare provider. based in Cambridge, Ohio. specializing in Urology Physician. They hold a License No. 35071716 (OH). The NPI Number for Unknown Individual is 1689626681

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689626681
Phone
(740) 439-0733
Address
1251 CLARK ST
Deactivation Date
13 October 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7404398839
Graduation Year
1994 (32 years ago)
PAC ID
3375671415
Group Practice PAC ID
4880688290
Professional Enrollment ID
I20100511000091

Contacts

Secure Messaging
CMaxi@seormc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1251, Clark Street, Wheeling Avenue Historic District, Cambridge, Guernsey County, Ohio, 43725, United States

    CAMBRIDGE, OH 437259612

    Phone: (740) 439-0733

    Fax: (740) 439-8996

    Type: Mailing

  • 1200, Clark Street, Cambridge, Guernsey County, Ohio, 43725, United States

    CAMBRIDGE, OH 437259611

    Phone: (740) 439-8839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,616.

Total Amount is formed as General ($1,616) + Research ($0) + Ownership ($0) = $1,616.

Last reported payment date: 2023-12-31 • Largest payer in this snapshot: Teleflex LLC ($1,186).

Total Amount

$1,616

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,616

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-31

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
81003Automated urinalysis test153134$0
52000Diagnostic exam of bladder and urethra using an endoscope8480$0
99214Established patient office or other outpatient visit, 30-39 minutes8477$0
99213Established patient office or other outpatient visit, 20-29 minutes7874$0
99212Established patient office or other outpatient visit, 10-19 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 43725)

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Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYOH55700Biopsy of prostate gland2020
UROLOGYOH76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2121

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880688290View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1689626681; it appears in the national provider directory.
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 Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Cambridge, Ohio for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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