Unknown Individual – Family Medicine Physician, NPI 1407848534
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Congress Boulevard, Smithville, DeKalb County, Tennessee, 37`66, United States
SMITHVILLE, TN 371662704
Phone: (615) 597-4395
Fax: (615) 597-5075
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 77 Open Payments records for all available years, with a total value of $1,336.
Total Amount is formed as General ($1,336) + Research ($0) + Ownership ($0) = $1,336.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($346).
Total Amount
$1,336
General + Research + Ownership
Payments
77
Total payment records
General Amount
$1,336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $346 |
| Amgen Inc. | $182 |
| Lilly USA, LLC | $141 |
| ABBVIE INC. | $83 |
| Astellas Pharma US Inc | $71 |
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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,048 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 372 | 222 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 313 | 194 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 219 | 178 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 199 | 179 | $0 |
Insurance plans in this area (ZIP 37166)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TN | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 12 |
| FAMILY MEDICINE | TN | 71010 | X-ray of chest, 1 view, front | 48 | 40 |
| FAMILY MEDICINE | TN | 83036 | Hemoglobin A1C level | 122 | 62 |
| FAMILY MEDICINE | TN | 85610 | Blood test, clotting time | 139 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Surgery | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | MO | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Family Practice | TN |
Reviews
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