Unknown Individual – Specialist, NPI 1124059555
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
24, Salt Pond Road, Wakefield, South Kingstown, South County, Rhode Island, 02879, United States
BUILDING H-2
WAKEFIELD, RI 028794314
Phone: (401) 789-0227
Fax: (401) 789-4882
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 $508.
Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($324).
Total Amount
$508
General + Research + Ownership
Payments
41
Total payment records
General Amount
$508
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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.
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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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,580 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 622 | 395 | $0 |
| 95117 | Professional service for multiple injections of allergen | 335 | 27 | $0 |
| 92567 | Test to assess middle ear function | 328 | 290 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 325 | 288 | $0 |
Insurance plans in this area (ZIP 02879)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | RI | 92567 | Eardrum testing using ear probe | 185 | 164 |
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