Unknown Individual – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1780665273

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Adult Reconstructive Orthopaedic Surgery Physician. They hold a License No. 35051297 (OH). The NPI Number for Unknown Individual is 1780665273

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780665273
Phone
(937) 832-1841
Address
9000 N MAIN ST
Deactivation Date
24 April 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9378324773
Graduation Year
1983 (43 years ago)
PAC ID
8224932553
Group Practice PAC ID
5597708594
Professional Enrollment ID
I20031121000158
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • John Wayland Highway, Dayton, Rockingham County, Virginia, United States

    SUITE 227

    DAYTON, OH 454151180

    Phone: (937) 832-1841

    Fax: (937) 832-2739

    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 1 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($127).

Total Amount

$127

General + Research + Ownership

Payments

1

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11122$0
99213Established patient office or other outpatient visit, 20-29 minutes10687$0
73562X-ray of knee, 3 views4039$0
20610Aspiration and/or injection of fluid from large joint3532$0
73502X-ray of hip, 2-3 views2323$0
View full utilization report →

Insurance plans in this area (ZIP 45415)

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Provider's Procedures

Unknown Individual performs procedures in Adult Reconstructive Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOH20610Aspiration and/or injection of large joint or joint capsule7955
ORTHOPEDIC SURGERYOH27447Repair of knee joint3634
ORTHOPEDIC SURGERYOH73562X-ray of knee, 3 views1313

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: 5597708594View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOH
Interventional Cardiology, Cardiac ElectrophysiologyOH
-OH
Cardiovascular Disease (Cardiology)OH
-OH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
-OH

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1780665273.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Dayton, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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