Unknown Individual – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1073041158
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
537, Union Avenue, Grants Pass, Josephine County, Oregon, 97527, United States
GRANTS PASS, OR 975275543
Phone: (541) 507-2150
Fax: (541) 507-2151
Type: Mailing
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 302144565
Phone: (678) 534-5922
Fax: (844) 269-7984
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Optinose US, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optinose US, Inc. | $21 |
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 | 31 | 31 | $0 |
Insurance plans in this area (ZIP 97527)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WV | |
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | GA | |
| Internal Medicine | OR | |
| N E U R O L O G Y | CO | |
| - | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.