Unknown Individual – Family Medicine Physician, NPI 1609851849

Unknown Individual is a healthcare provider. based in Hearne, Texas. specializing in Family Medicine Physician. They hold a License No. L4189 (TX). The NPI Number for Unknown Individual is 1609851849

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609851849
Phone
(979) 279-9913
Address
1643 N MARKET ST
Deactivation Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9157585811
Graduation Year
1999 (27 years ago)
PAC ID
2860487980
Group Practice PAC ID
2668382516
Professional Enrollment ID
I20040419000291
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

  • North Market Street, Hearne, Robertson County, Texas, 77859, United States

    HEARNE, TX 778593873

    Phone: (979) 279-9913

    Fax: (979) 279-9941

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count4,480560$0
99442Telephone medical discussion with physician, 11-20 minutes172143$0
99284Emergency department visit with moderate level of medical decision making4949$0
99285Emergency department visit with high level of medical decision making2525$0
99283Emergency department visit with low level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 77859)

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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: 2668382516View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
-TX
Nurse PractitionerNM
Nurse PractitionerNM
Emergency MedicineTX
Nurse PractitionerNM
Clinical Social WorkerTX
Emergency MedicineMI
-TX

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1609851849 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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Hearne, Texas as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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