Unknown Individual – Forensic Psychiatry Physician, NPI 1386662609

Unknown Individual is a healthcare provider. based in Jeannette, Pennsylvania. specializing in Forensic Psychiatry Physician. They hold a License No. MD058015L (PA). The NPI Number for Unknown Individual is 1386662609

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386662609
Phone
(717) 887-4960
Address
1109 BLACKTHORNE DR
Deactivation Date
20 March 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7243578198
Graduation Year
1996 (30 years ago)
PAC ID
4082807011
Group Practice PAC ID
5294723359
Professional Enrollment ID
I20101021001140

Contacts

Secure Messaging
joseph.buzogany@irmc.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1109 BLACKTHORNE DR

    JEANNETTE, PA 156444740

    Phone: (717) 887-4960

    Type: Mailing

  • 1109 Blackthorne Dr

    Jeannette, PA 156444740

    Phone: (717) 887-4960

    Type: Location

  • 640 KOLTER DR

    INDIANA, PA 157013570

    Phone: (724) 357-7196

    Fax: (724) 357-7279

    Type: Mailing

  • 850 HOSPITAL RD STE 2200

    INDIANA, PA 157013663

    Phone: (724) 464-0270

    Fax: (724) 464-0274

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $960.

Total Amount is formed as General ($960) + Research ($0) + Ownership ($0) = $960.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$960

General + Research + Ownership

Payments

52

Total payment records

General Amount

$960

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes550124$0
99214Established patient office or other outpatient visit, 30-39 minutes363133$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13725$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes4623$0
99213Established patient office or other outpatient visit, 20-29 minutes4232$0
View full utilization report →

Insurance plans in this area (ZIP 15644)

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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: 5294723359View full group profile
NameSpecialtyState
Radiation OncologyKS
Radiation OncologyWA
Psychiatry, Pediatric MedicinePA
Physician AssistantPA
Clinical PsychologistPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
Physician AssistantPA
N E U R O L O G YPA
U R O L O G YVA

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1386662609.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Forensic Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Jeannette, Pennsylvania.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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