Unknown Individual – Neurological Surgery Physician, NPI 1740463983

Unknown Individual is a healthcare provider. based in Lancaster, Pennsylvania. specializing in Neurological Surgery Physician. They hold a License No. MD435636 (PA). The NPI Number for Unknown Individual is 1740463983

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740463983
Phone
(717) 358-0800
Address
233 COLLEGE AVE.
Deactivation Date
12 June 2024

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7173580800
Graduation Year
2002 (24 years ago)
PAC ID
6204909070
Group Practice PAC ID
0941105431
Professional Enrollment ID
I20090327000414
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 233, College Avenue, Lancaster, Lancaster County, Pennsylvania, 17603, United States

    SUITE 201

    LANCASTER, PA 176033384

    Phone: (717) 358-0800

    Fax: (717) 358-0802

    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 41 Open Payments records for all available years, with a total value of $1,849.

Total Amount is formed as General ($1,849) + Research ($0) + Ownership ($0) = $1,849.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Abbott Laboratories ($1,388).

Total Amount

$1,849

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,849

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

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
96136Administration of psychological or neuropsychological test, first 30 minutes255176$0
99214Established patient office or other outpatient visit, 30-39 minutes215142$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
96127Assessment of emotional or behavioral problems3613$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion3220$0
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Insurance plans in this area (ZIP 17603)

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Provider's Procedures

Unknown Individual performs procedures in Neurological Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYPA22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments2018
NEUROSURGERYPA63048Partial removal of spine bone with release of spinal cord and/or nerves2418

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: 0941105431View full group profile
NameSpecialtyState
Nurse PractitionerPA
Physician AssistantPA
Physician AssistantPA
Pain Management, Physical Medicine And RehabilitationPA
Physician AssistantMA

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1740463983.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Neurological Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Lancaster, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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