CMS-1500 Box 24J / 33a • NPI
1013127430
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RR0500X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
3 SHERIDAN SQ, KINGSPORT, TN, 37660-7390
✓ 9-Digit EDI 837 ZIP+4 (37660-7390)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013127430 (ANNETTE MARIE ABRIL, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1013127430)
Medicare Beneficiaries
343
Total Billed Services
84,646
Distinct CPT/HCPCS Codes
54
Medicare Allowed Total
$1,282,538.13
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 303 |
71046 | X-ray of chest, 2 views | 40 |
73130 | X-ray of hand, minimum of 3 views | 93 |
73502 | X-ray of hip, 2-3 views | 11 |
73620 | X-ray of foot, 2 views | 58 |
76881 | Complete ultrasound scan of joint | 84 |
77080 | Dxa bone density measurement of hip, pelvis, spine | 45 |
96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 265 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Actemra Actpen Tocilizumab | 23 | <11 |
| Alendronate Sodium Alendronate Sodium | 17 | <11 |
| Allopurinol Allopurinol | 13 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 23 | <11 |
| Azathioprine Azathioprine | 28 | <11 |
| Celecoxib Celecoxib | 39 | 14 |
| Cevimeline Hcl Cevimeline Hcl | 11 | <11 |
| Colchicine Colchicine | 23 | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013127430 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANNETTE MARIE ABRIL, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RR0500X (Internal Medicine, Rheumatology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 3 SHERIDAN SQ, KINGSPORT, TN, 37660-7390 |
| Practice Telephone / Fax | Tel: (423) 392-6840 | Fax: (423) 392-6845 |
| Administrative Mailing Address | 3 SHERIDAN SQ, KINGSPORT, TN, 37660-7390 |
| Enumeration & Last Sync | Enumerated: 2007-05-23 | CMS Record Updated: 2009-12-03 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RR0500X)
What Does Taxonomy Code 207RR0500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RR0500X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANNETTE MARIE ABRIL, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RR0500X — Internal Medicine, RheumatologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: TN | License: MD000045213 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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