Unknown Individual – Family Medicine Physician, NPI 1194726653

Unknown Individual is a healthcare provider. based in Gettysburg, Pennsylvania. specializing in Family Medicine Physician. They hold a License No. MD065852L (PA). The NPI Number for Unknown Individual is 1194726653

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194726653
Phone
(717) 334-2183
Address
524 S WASHINGTON ST
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
7173342183
Graduation Year
1996 (30 years ago)
PAC ID
9537299961
Group Practice PAC ID
9931188505
Professional Enrollment ID
I20100616000403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 524, South Washington Street, Gettysburg, Adams County, Pennsylvania, 17325, United States

    GETTYSBURG, PA 173252594

    Phone: (717) 334-2183

    Fax: (717) 334-5246

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-06-14 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($122).

Total Amount

$224

General + Research + Ownership

Payments

10

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg3,72037$0
36415Insertion of needle into vein for collection of blood sample869331$0
99214Established patient office or other outpatient visit, 30-39 minutes577285$0
80053Blood test, comprehensive group of blood chemicals555307$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count459274$0
View full utilization report →

Insurance plans in this area (ZIP 17325)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA83036Hemoglobin A1C level5433
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle3434

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931188505View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerPA
Family PracticeMD
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
Family PracticePA
Physician AssistantPA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1194726653 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Gettysburg, Pennsylvania; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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