Unknown Individual – Family Medicine Physician, NPI 1659349306
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1122, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
ORI236
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-1515
Type: Mailing
900, Northeast 10th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States
OKLAHOMA CITY, OK 731045420
Phone: (405) 271-4311
Fax: (405) 271-2797
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $243.
Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.
Last reported payment date: 2024-02-19 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($243).
Total Amount
$243
General + Research + Ownership
Payments
3
Total payment records
General Amount
$243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $243 |
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 | 146 | 75 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 98 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 73 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | 23 | $0 |
| G0008 | Administration of influenza virus vaccine | 24 | 24 | $0 |
Insurance plans in this area (ZIP 73117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| N E P H R O L O G Y | NY | |
| - | OK | |
| - | OK |
Reviews
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