Unknown Individual – Surgery Physician, NPI 1073533394
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Continental, 615, Chestnut Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19106-9997, United States
14TH FLOOR, CENTRAL ENROLLMENT
PHILADELPHIA, PA 191064404
Phone:
Type: Mailing
Dunkin' Donuts, 1100, Walnut Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
MOB, 5TH FLOOR
PHILADELPHIA, PA 191075563
Phone: (215) 955-6750
Fax: (215) 923-8222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $12,600.
Total Amount is formed as General ($12,600) + Research ($0) + Ownership ($0) = $12,600.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Cardinal Health 414 LLC ($12,600).
Total Amount
$12,600
General + Research + Ownership
Payments
8
Total payment records
General Amount
$12,600
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cardinal Health 414 LLC | $12,600 |
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 | 80 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
| 11606 | Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm | 44 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 27 | 27 | $0 |
Insurance plans in this area (ZIP 19106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | PA | 38900 | Lymph node imaging during surgery | 40 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | CA | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ |
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