Unknown Individual – Family Medicine Physician, NPI 1861442030
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1091, North Main Street, Vidor, Orange County, Texas, 77662, United States
SUITE B
VIDOR, TX 776624360
Phone: (409) 769-0237
Fax: (409) 769-0254
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)
CMS reports 72 Open Payments records for all available years, with a total value of $1,780.
Total Amount is formed as General ($1,780) + Research ($0) + Ownership ($0) = $1,780.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: ABBVIE INC. ($383).
Total Amount
$1,780
General + Research + Ownership
Payments
72
Total payment records
General Amount
$1,780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $383 |
| AstraZeneca Pharmaceuticals LP | $217 |
| Corium, LLC | $205 |
| Merck Sharp & Dohme LLC | $175 |
| Amgen Inc. | $105 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 431 | 149 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 319 | 143 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 108 | 92 | $0 |
| 81002 | Urinalysis, manual test | 34 | 24 | $0 |
| 90756 | Influenza vaccine, quadrivalent derived from cell cultures | 28 | 28 | $0 |
Insurance plans in this area (ZIP 77662)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 81002 | Urinalysis, manual test | 174 | 124 |
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