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NPI 1093178477 · Pulmonary Disease Physician · Indianapolis, IN
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1093178477
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,564 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 300 | $71 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 246 | $108 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 240 | $116 |
| Critical Care, First 30-74 Minutes99291 | 102 | $195 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 97 | $15 |
| Hospital Discharge Day Management, More Than 30 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 330 | 80 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 227 | 87 |
| Prednisone | 110 | 56 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 86 | 25 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 85 | 22 |
| Tiotropium Bromidebrand: Spiriva Respimat | 83 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,991 across 172 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 1210 Medical Arts Blvd Ste 314Anderson, IN 46011-3439Phone: (765) 776-3600
- 7250 Clearvista Dr Ste 355Indianapolis, IN 46256-5609Phone: (317) 621-5676
- 3504 S Lafountain StKokomo, IN 46902-3803Phone: (765) 776-3600
- 1020 N 12th StMilwaukee, WI 53233-1308Phone: (260) 704-8171
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.