Unknown Individual – Emergency Medicine Physician, NPI 1912954041
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1906 Tamarack Rd
Newark, OH 430552303
Phone: (740) 522-0222
Fax: (614) 794-0481
Type: Location
The Staebler Group, 575, Copeland Mill Road, Westerville, Sharon, Franklin, Ohio, 43081, United States
SUITE #1D
WESTERVILLE, OH 430818977
Phone: (614) 794-0481
Fax: (614) 794-3711
Type: Mailing
1906, Tamarack Road, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 430552303
Phone: (740) 522-0222
Fax: (614) 794-0481
Type: Location
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: PFIZER INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $19 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 77 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 22 | 22 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 43055)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | OH | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 86 | 83 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Pediatric Medicine, Pain Management | OH | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
Reviews
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