Unknown Individual – Obstetrics & Gynecology Physician, NPI 1275536781

Unknown Individual is a healthcare provider. based in Killeen, Texas. specializing in Obstetrics & Gynecology Physician. They hold a License No. J2464 (TX). The NPI Number for Unknown Individual is 1275536781

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275536781
Phone
(903) 352-0007
Address
2201 S CLEAR CREEK RD
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
2545198907
Graduation Year
1988 (38 years ago)
PAC ID
5799731410
Group Practice PAC ID
9537183124
Professional Enrollment ID
I20050325000377
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

  • Metroplex Health System, 2201, South Clear Creek Road, Killeen, Bell County, Texas, 76549, United States

    KILLEEN, TX 765494110

    Phone: (903) 352-0007

    Type: Mailing

  • South Clear Creek Road, Killeen, Bell County, Texas, 76549, United States

    STE 208

    KILLEEN, TX 765494143

    Phone: (254) 519-8907

    Fax: (254) 519-8910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $2,074.

Total Amount is formed as General ($2,074) + Research ($0) + Ownership ($0) = $2,074.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,044).

Total Amount

$2,074

General + Research + Ownership

Payments

8

Total payment records

General Amount

$2,074

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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 minutes1712$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1313$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1212$0
View full utilization report →

Insurance plans in this area (ZIP 76549)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537183124View full group profile
NameSpecialtyState
Internal Medicine, Interventional RadiologyTX
P S Y C H I A T R YTX
General SurgeryVA
Nurse PractitionerVA
P O D I A T R YTX
Orthopedic SurgeryCA
-TX
Clinical Social WorkerTX
General SurgeryTX
-TX

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1275536781 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Killeen, Texas for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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