Unknown Individual – Anesthesiology Physician, NPI 1073570628
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States
AUGUSTA, GA 309072464
Phone:
Type: Mailing
University Boulevard West, Northwood Forest, Kemp Mill Estates, Four Corners, Wheaton, Montgomery County, Maryland, 20902-3941, United States
STE 104
WHEATON, MD 209021905
Phone: (301) 942-8799
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-05-13 • Largest payer in this snapshot: Medline Industries LP ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $19 |
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.
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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 |
|---|---|---|---|---|
| 00103 | Anesthesia for procedure on eyelid | 14 | 14 | $0 |
Insurance plans in this area (ZIP 30907)
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