Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1639176480

Unknown Individual is a healthcare provider. based in Eugene, Oregon. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold a License No. MD06966 (OR). The NPI Number for Unknown Individual is 1639176480

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639176480
Phone
(541) 485-8111
Address
55 COBURG RD
Deactivation Date
3 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Brian A. Jewett M.D., 55, Coburg Road, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974012433

    Phone: (541) 485-8111

    Fax: (541) 868-0883

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97401)

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Provider's Procedures

Unknown Individual performs procedures in Sports Medicine (Orthopaedic Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOR20610Aspiration and/or injection of large joint or joint capsule2911
ORTHOPEDIC SURGERYOR73630X-ray of foot, minimum of 3 views1918

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1639176480 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Eugene, Oregon in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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