Unknown Individual – Family Medicine Physician, NPI 1568401610
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 236011318
Phone: (757) 316-5800
Fax: (757) 534-5190
Type: Mailing
1250 E Marshall St
Richmond, VA 232985023
Phone: (804) 333-6400
Fax: (804) 333-6392
Type: Location
1420 S Main St
Culpeper, VA 227013431
Phone: (540) 825-2202
Type: Location
16 Delfae Dr
Warsaw, VA 225724281
Phone: (804) 333-6400
Fax: (804) 333-6392
Type: Location
5516 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA 234625629
Phone: (757) 473-3969
Fax: (757) 506-0157
Type: Location
Parksley Migrant Headstart Center, 20344, Lankford Highway, Pastoria, Parksley, Accomack County, Virginia, 23421, United States
PARKSLEY, VA 23421
Phone: (757) 665-5996
Fax: (757) 665-5973
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Novo Nordisk Inc ($125).
Total Amount
$151
General + Research + Ownership
Payments
2
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $125 |
| Averitas Pharma Inc. | $26 |
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 | 406 | 321 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 189 | 167 | $0 |
| 83036 | Hemoglobin a1c level | 97 | 76 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 67 | 67 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 60 | 60 | $0 |
Insurance plans in this area (ZIP 23601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 81002 | Urinalysis, manual test | 48 | 44 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| H O S P I T A L I S T | WV | |
| - | PA | |
| G A S T R O E N T E R O L O G Y | VA | |
| General Surgery | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA |
Reviews
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