Unknown Individual – Internal Medicine Physician, NPI 1083697247
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Mid Columbia Medical Center, 1700, East 19th Street, The Dalles, Wasco County, Oregon, 97058, United States
THE DALLES, OR 970583317
Phone: (541) 296-1111
Fax: (541) 296-7601
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)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 11 | 11 | $0 |
Insurance plans in this area (ZIP 97058)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OR | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 329 | 252 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Cardiovascular Disease (Cardiology) | OR | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OR | |
| Cardiovascular Disease (Cardiology) | WA | |
| Emergency Medicine | OH |
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