Unknown Individual – Internal Medicine Physician, NPI 1871523126
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
43, Timber Lane, South Burlington, Chittenden County, Vermont, 05403, United States
SOUTH BURLINGTON, VT 054035200
Phone: (802) 860-3940
Fax: (802) 497-0511
Type: Location
173, Deforest Road, South Hill Section, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 05401
Phone: (802) 860-3940
Fax: (802) 497-0511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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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 | 248 | 134 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 187 | 187 | $0 |
| G0008 | Administration of influenza virus vaccine | 156 | 156 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 152 | 152 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 50 | $0 |
Insurance plans in this area (ZIP 05403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | VT | 90670 | Pneumococcal vaccine for injection into muscle | 69 | 69 |
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