Unknown Individual – General Practice Physician, NPI 1710923040
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Youngstown Poland Road, Brownlee Woods, Struthers, Boardman Township, Mahoning County, Ohio, 44471, United States
YOUNGSTOWN, OH 44514
Phone: (330) 757-0954
Fax: (330) 757-1531
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 186 Open Payments records for all available years, with a total value of $3,223.
Total Amount is formed as General ($3,223) + Research ($0) + Ownership ($0) = $3,223.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($603).
Total Amount
$3,223
General + Research + Ownership
Payments
186
Total payment records
General Amount
$3,223
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 |
|---|---|
| AstraZeneca Pharmaceuticals LP | $603 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $304 |
| Janssen Pharmaceuticals, Inc | $255 |
| ABBVIE INC. | $212 |
| GlaxoSmithKline, LLC. | $202 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 377 | 117 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 53 | 17 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 44 | 30 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 44 | 39 | $0 |
| 81002 | Urinalysis, manual test | 38 | 23 | $0 |
Insurance plans in this area (ZIP 44514)
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Provider's Procedures
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