Unknown Individual – Gastroenterology Physician, NPI 1487611588
Gastroenterology Physician
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NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1836 South Ave
LA Crosse, WI 546015429
Phone: (608) 782-7300
Type: Location
410, Saybrook Road, Middletown, Middlesex County, Connecticut, 06457, United States
SUITE 201
MIDDLETOWN, CT 06457
Phone: (860) 347-4620
Fax: (860) 346-9687
Type: Mailing
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 24 | 24 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 16 | 16 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 54601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MN | |
| Physical Therapist In Private Practice | MN | |
| Qualified Speech Language Pathologist | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| - | MN | |
| Clinical Psychologist | NV | |
| - | UT |
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