Unknown Individual – Internal Medicine Physician, NPI 1952359978

Unknown Individual is a healthcare provider. based in Danville, Pennsylvania. specializing in Internal Medicine Physician. They hold a License No. OS007751L (PA). The NPI Number for Unknown Individual is 1952359978

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952359978
Phone
(570) 271-6144
Address
100 N ACADEMY AVE
Deactivation Date
18 September 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5702866773
Graduation Year
1991 (35 years ago)
PAC ID
5597775916
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20060501000272

Contacts

Secure Messaging
mstill47614@direct.geisinger.edu
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

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Provider Addresses for Unknown Individual

  • Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States

    DANVILLE, PA 178223034

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

  • Geisinger Lewisburg, Reitz Boulevard, Fairville, Linntown, East Buffalo Township, Union County, Pennsylvania, 17837, United States

    LEWISBURG, PA 178379208

    Phone: (570) 523-0055

    Fax: (570) 523-7996

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-07-25 • Largest payer in this snapshot: VBI Vaccines (Delaware) Inc. ($60).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-25

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
99214Established patient office or other outpatient visit, 30-39 minutes150124$0
99215Established patient office or other outpatient visit, 40-54 minutes10687$0
G0008Administration of influenza virus vaccine6059$0
90662Influenza vaccine split virus, preservative free5453$0
85610Blood test, clotting time5037$0
View full utilization report →

Insurance plans in this area (ZIP 17822)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA81002Urinalysis, manual test3026

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: 5395657001View full group profile
NameSpecialtyState
-NC
-PA
P S Y C H I A T R YNY
Internal Medicine, Hospice/Palliative CarePA
-PA
Nurse PractitionerPA
Physician AssistantPA
-PA
-PA
G A S T R O E N T E R O L O G YNY

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1952359978; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Pennsylvania?
You will see Danville, Pennsylvania on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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