Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1093803942
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
701, West 5th Street, Scharbauer Place, Westside, Odessa, Ector County, Texas, 79763, United States
ODESSA, TX 797634206
Phone: (432) 335-1777
Fax: (432) 335-1815
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 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Echosens North America, Inc. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Echosens North America, Inc. | $22 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79763)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ENDOCRINOLOGY | TX | 83036 | Hemoglobin A1C level | 82 | 59 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| - | TX | |
| Family Practice, Geriatric Medicine | TX | |
| Endocrinology, Internal Medicine | TX | |
| P S Y C H I A T R Y | TX | |
| - | TX | |
| Family Practice | TX | |
| Family Practice, Geriatric Medicine | TX |
Reviews
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