Unknown Individual – Urology Physician, NPI 1124134457

Unknown Individual is a healthcare provider. based in Sherman, Texas. specializing in Urology Physician. They hold a License No. TXG4525 (TX). The NPI Number for Unknown Individual is 1124134457

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124134457
Phone
(903) 892-5500
Address
1117 GALLAGHER
Deactivation Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
2365638954
Professional Enrollment ID
I20101122000649
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1117, Gallagher Drive, Sherman, Grayson County, Texas, 75090, United States

    STE 460

    SHERMAN, TX 75090

    Phone: (903) 892-5500

    Fax: (903) 892-3884

    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 2 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($112).

Total Amount

$130

General + Research + Ownership

Payments

2

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes676115$0
J1071Injection, testosterone cypionate, 1 mg46228$0
81000Manual urinalysis test with examination using microscope, non-automated291116$0
76856Complete ultrasound scan of pelvis251119$0
76770Complete ultrasound scan behind abdominal cavity242119$0
View full utilization report →

Insurance plans in this area (ZIP 75090)

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Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYTX82270Stool analysis for blood to screen for colon tumors7979

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1124134457 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Urology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Sherman, Texas on file for Unknown Individual alongside any extra practice locations.
What if Sherman, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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