Unknown Individual – Orthopaedic Surgery Physician, NPI 1851384077

Orthopaedic Surgery Physician

Unknown Individual is a healthcare provider. based in Plano, Texas. specializing in Orthopaedic Surgery Physician. They hold a License No. H6827 (TX). The NPI Number for Unknown Individual is 1851384077

Main info

Organization

Inactive

42 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1851384077

Phone

(972) 985-1072

Address

4031 W PLANO PKWY

Deactivation Date

20 April 2022

Doctor Profile

Medical School Name

STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER

Secondary Phone

9729851072

Graduation Year

1984 (42 years ago)

PAC ID

1759350911

Group Practice PAC ID

3375724792

Professional Enrollment ID

I20110114000916

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

4031, West Plano Parkway, Cowley, Plano, Collin County, Texas, 75093, United States
SUITE 100
PLANO, TX 750935617
Phone: (972) 985-1072
Fax: (972) 596-5382
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.

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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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ORTHOPEDIC SURGERY	TX	20610	Aspiration and/or injection of large joint or joint capsule	275	191
ORTHOPEDIC SURGERY	TX	27447	Repair of knee joint	15	14
ORTHOPEDIC SURGERY	TX	73562	X-ray of knee, 3 views	103	46

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: 3375724792View full group profile

Name	Specialty	State
DR. JOHN EDWARD ARVESEN (M.D.)	-	TX
BRITTANY KLEIN	Physician Assistant	TX
DEREK MILES SMITH (P.T.)	-	TX
MR. ROBERT M MOYLON (PA-C, ATC)	Physician Assistant	TX
KELLY PETERS (PA-C)	-	TX
SUSAN C HUGHES (O.T.)	Occupational Therapist In Private Practice	TX
ANAL SHAH (PT)	Physical Therapist In Private Practice	TX
TYLER STORY	Physical Therapist In Private Practice	TX
LOGAN THOMAS BARTEL (PT, DPT)	Physical Therapist In Private Practice	TX
MISS KRISTIN M KEESEY (OTR)	Occupational Therapist In Private Practice	TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1851384077 — is the standard way to identify this listing.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Plano, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.