Unknown Individual – Internal Medicine Physician, NPI 1699727461
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
130 Martz St
Suite 3
Greenville, OH 453311071
Phone: (937) 548-5114
Fax: (937) 548-5177
Type: Location
Family Health Services of Darke County, 5735, Meeker Road, Greenville, Darke County, Ohio, 45331, United States
GREENVILLE, OH 453311180
Phone: (937) 548-9680
Fax: (937) 548-2087
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-05-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040616000668 | I | Internal Medicine | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 334 | 214 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 327 | 213 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 317 | 210 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 276 | 194 | $0 |
| 84439 | Thyroxine (thyroid chemical), free | 137 | 91 | $0 |
Insurance plans in this area (ZIP 45331)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 83036 | Hemoglobin A1C level | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH |
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