Unknown Individual – Internal Medicine Physician, NPI 1053373738
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
601 E SAN ANTONIO ST STE 402W
VICTORIA, TX 779016052
Phone: (361) 575-0228
Type: Mailing
605 E SAN ANTONIO ST STE 402W
VICTORIA, TX 779016050
Phone: (361) 575-0228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2023-06-15 • Largest payer in this snapshot: Lilly USA, LLC ($42).
Total Amount
$186
General + Research + Ownership
Payments
11
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $42 |
| Dexcom, Inc. | $42 |
| AstraZeneca Pharmaceuticals LP | $35 |
| Baxter Healthcare | $21 |
| Novo Nordisk Inc | $17 |
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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 241 | 89 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 | 22 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 22 | 22 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 77901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| H O S P I T A L I S T | VA | |
| - | TX | |
| Orthopedic Surgery | TX | |
| General Practice | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX |
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