Unknown Individual – Otolaryngology Physician, NPI 1487691432

Unknown Individual is a healthcare provider. based in Abilene, Texas. specializing in Otolaryngology Physician. They hold a License No. K0784 (TX). The NPI Number for Unknown Individual is 1487691432

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487691432
Phone
(325) 437-3600
Address
1725 Hickory St
Deactivation Date
15 November 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3254373687
Graduation Year
1985 (41 years ago)
PAC ID
9234291295
Group Practice PAC ID
4688640931
Professional Enrollment ID
I20100602000632
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

Provider Addresses for Unknown Individual

  • 1725 Hickory St

    Abilene, TX 796012972

    Phone: (325) 437-3600

    Fax: (325) 437-1827

    Type: Location

  • 3 Hospital Dr

    Abilene, TX 796065269

    Phone: (325) 437-3600

    Fax: (325) 437-1827

    Type: Location

  • 1233, North 18th Street, Abilene, Taylor County, Texas, 79601, United States

    ABILENE, TX 796012932

    Phone: (325) 437-3687

    Fax: (325) 437-1827

    Type: Mailing

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 $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($59).

Total Amount

$166

General + Research + Ownership

Payments

8

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

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
95165Professional service for preparation and provision of 1 or more antigens76349$0
95115Professional service for single injection of allergen21333$0
95117Professional service for multiple injections of allergen18523$0
99213Established patient office or other outpatient visit, 20-29 minutes147122$0
69210Removal of impacted ear wax2924$0
View full utilization report →

Insurance plans in this area (ZIP 79601)

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Provider's Procedures

Unknown Individual performs procedures in Otolaryngology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYTX95117Injection of incremental dosages of allergen, 2 or more injections113369

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: 4688640931View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1487691432 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Abilene, Texas as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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