Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1790773240
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4708, Alliance Boulevard, Plano, Collin County, Texas, 75093, United States
BLDG 1, SUITE 700
PLANO, TX 750935340
Phone: (972) 596-6676
Fax: (972) 596-7078
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765080001
Phone: (254) 724-2111
Fax: (254) 724-7603
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $201.
Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.
Last reported payment date: 2023-03-24 • Largest payer in this snapshot: Artivion, Inc. ($151).
Total Amount
$201
General + Research + Ownership
Payments
3
Total payment records
General Amount
$201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Artivion, Inc. | $151 |
| Medtronic, Inc. | $51 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
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