Unknown Individual – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1902807878
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
8040 Wolf River Blvd Ste 200
Germantown, TN 381381775
Phone: (901) 726-0200
Type: Location
22335 US Highway 72
Suite C
Athens, AL 356132602
Phone: (256) 233-5000
Fax: (256) 233-5361
Type: Location
Ridge Lake Boulevard, White Station, Memphis, Shelby County, Tennessee, 38120, United States
MEMPHIS, TN 381209446
Phone: (901) 227-3255
Fax: (901) 227-8591
Type: Mailing
7736, Airways Boulevard, Southaven, DeSoto County, Mississippi, 38671, United States
SOUTHAVEN, MS 386715306
Phone: (662) 349-1112
Fax: (662) 349-6646
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $66,361.
Total Amount is formed as General ($66,361) + Research ($0) + Ownership ($0) = $66,361.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Applied Medical Resources Corporation ($66,180).
Total Amount
$66,361
General + Research + Ownership
Payments
82
Total payment records
General Amount
$66,361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Applied Medical Resources Corporation | $66,180 |
| Medtronic, Inc. | $136 |
| Boston Scientific Corporation | $31 |
| Shield Therapeutics Inc | $14 |
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 53 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 50 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 20 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 38138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Family Practice | MS | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | MS | |
| Internal Medicine | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN |
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