Unknown Individual – Specialist, NPI 1578567186

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Specialist. They hold a License No. J4530 (TX). The NPI Number for Unknown Individual is 1578567186

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578567186
Phone
(806) 797-4985
Address
4642 N LOOP 289
Deactivation Date
30 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8067974985
Graduation Year
1992 (34 years ago)
PAC ID
8123118403
Group Practice PAC ID
3173579844
Professional Enrollment ID
I20100218000544
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

  • 4642, North Loop 289, North By Northwest, Lubbock, Texas, 79416, United States

    STE 101

    LUBBOCK, TX 794162422

    Phone: (806) 797-4985

    Fax: (806) 792-8588

    Type: Mailing

  • 301 UTICA AVE

    LUBBOCK, TX 794163111

    Phone: (806) 797-4985

    Fax: (806) 792-8588

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Stryker Corporation ($164).

Total Amount

$223

General + Research + Ownership

Payments

4

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

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
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,07218$0
J1040Injection, methylprednisolone acetate, 80 mg423241$0
20610Aspiration and/or injection of fluid from large joint379278$0
73562X-ray of knee, 3 views376249$0
99212Established patient office or other outpatient visit, 10-19 minutes244220$0
View full utilization report →

Insurance plans in this area (ZIP 79416)

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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: 3173579844View full group profile
NameSpecialtyState
Nurse PractitionerTX
Orthopedic SurgeryTX
-TX
Orthopedic SurgeryTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Physical Therapist In Private PracticeTX
Physician AssistantTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1578567186 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Other Service Providers. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lubbock, Texas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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