Unknown Individual – Geriatric Medicine (Internal Medicine) Physician, NPI 1093720674
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
957, West 21st Street, Norfolk, Virginia, 23517, United States
SUITE E
NORFOLK, VA 235171536
Phone: (757) 622-8358
Fax: (757) 622-7171
Type: Location
1553, Cloncurry Road, Lochhaven, Norfolk, Virginia, 23505, United States
NORFOLK, VA 235051715
Phone: (757) 622-3252
Fax: (757) 623-2185
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $233.
Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: ABBVIE INC. ($63).
Total Amount
$233
General + Research + Ownership
Payments
10
Total payment records
General Amount
$233
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $63 |
| Novo Nordisk Inc | $55 |
| iRhythm Technologies, Inc. | $49 |
| Exact Sciences Corporation | $38 |
| Janssen Pharmaceuticals, Inc | $15 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
| 83036 | Hemoglobin a1c level | 19 | 15 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | 11 | $0 |
Insurance plans in this area (ZIP 23517)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Internal Medicine | VA | |
| Family Practice | NJ | |
| Family Practice | VA | |
| Nurse Practitioner | FL |
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