Unknown Individual – Family Medicine Physician, NPI 1609846245
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2308B W HIGHWAY 66
STROUD, OK 740796729
Phone: (918) 968-4469
Fax: (918) 968-1618
Type: Location
849, Northeast 62nd Street, Topeka, Shawnee County, Kansas, 66617, United States
SHAWNEE, OK 748020849
Phone: (918) 968-4469
Fax: (918) 968-1618
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Avion Pharmaceuticals ($47).
Total Amount
$85
General + Research + Ownership
Payments
4
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avion Pharmaceuticals | $47 |
| Lundbeck LLC | $24 |
| Sumitomo Pharma America, Inc. | $14 |
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 | 347 | 88 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 251 | 42 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 106 | 58 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 36 | 28 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 29 | 23 | $0 |
Insurance plans in this area (ZIP 74079)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| General Practice | OK | |
| - | OK |
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