Unknown Individual – Physician Assistant, NPI 1023062569
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Blount Memorial Hospital Financial Operations Center, 101-103, West Broadway Avenue, Maryville, Blount County, Tennessee, 37801, United States
MARYVILLE, TN 378014703
Phone: (865) 273-1752
Fax: (865) 273-1755
Type: Mailing
220, Associates Boulevard, South Hall, Alcoa, Blount County, Tennessee, 37701, United States
ALCOA, TN 377011943
Phone: (865) 238-6400
Fax: (865) 238-6404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $679.
Total Amount is formed as General ($679) + Research ($0) + Ownership ($0) = $679.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: ABBVIE INC. ($241).
Total Amount
$679
General + Research + Ownership
Payments
37
Total payment records
General Amount
$679
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $241 |
| Almirall LLC | $99 |
| Dermavant Sciences, Inc. | $99 |
| Novartis Pharmaceuticals Corporation | $65 |
| Amgen Inc. | $52 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,915 | 319 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 611 | 497 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 525 | 399 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 326 | 265 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 232 | 218 | $0 |
Insurance plans in this area (ZIP 37801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TN | 11101 | Biopsy of each additional growth of skin and/or tissue | 110 | 78 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| General Surgery, Vascular Surgery | SC | |
| - | TN | |
| N E U R O L O G Y | CA | |
| Physician Assistant | SC | |
| Nurse Practitioner | TN | |
| Plastic And Reconstructive Surgery | TN |
Reviews
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