Unknown Individual – Psychiatry Physician, NPI 1487684593
Psychiatry Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
79, Center Street, Rutland Downtown Historic District, Rutland City, Rutland County, Vermont, 05701, United States
SUITE 2
RUTLAND, VT 057014061
Phone: (802) 773-7904
Fax: (802) 773-0055
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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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 | 93 | 54 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 29 | 26 | $0 |
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