CMS-1500 Box 24J / 33a • NPI
1013951185
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207T00000X (CMS 02)
Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)
Box 32 Service Location & ZIP+4
426 EAST DR.HICKS BLVD, FLORENCE, AL, 35630-6625
✓ 9-Digit EDI 837 ZIP+4 (35630-6625)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013951185 (JERRY GREGORY ADDERHOLT, MD) 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 #1013951185)
Medicare Beneficiaries
181
Total Billed Services
364
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$104,085.85
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 17 |
63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 34 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 107 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 78 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 13 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Celecoxib Celecoxib | 55 | 19 |
| Diclofenac Sodium Diclofenac Sodium | 125 | 47 |
| Furosemide Furosemide | 26 | <11 |
| Gabapentin Gabapentin | 37 | 19 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 77 | 59 |
| Methylprednisolone Methylprednisolone | 34 | 33 |
| Pregabalin Pregabalin | 11 | <11 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 21 | 21 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013951185 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JERRY GREGORY ADDERHOLT, MD |
| Plain-English Specialty | Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) NUCC Code: 207T00000X (Neurological Surgery) |
| Certifying / Licensing Body | American Board of Neurological Surgery (ABNS) |
| Practice Location Address | 426 EAST DR.HICKS BLVD, FLORENCE, AL, 35630-6625 |
| Practice Telephone / Fax | Tel: (256) 764-7721 | Fax: (256) 764-8589 |
| Administrative Mailing Address | 426 EAST DOCTOR HICKS BLVD, FLORENCE, AL, 35630-6625 |
| Enumeration & Last Sync | Enumerated: 2006-06-16 | CMS Record Updated: 2011-05-03 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207T00000X)
What Does Taxonomy Code 207T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207T00000X translates to:
"Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JERRY GREGORY ADDERHOLT, MD)
Typical CPT / Diagnostic Procedures:- Microsurgical Craniotomy for Brain Tumors & Intracranial Aneurysm Clipping/Coiling
- Anterior Cervical Discectomy & Fusion (ACDF) & Lumbar Microdiscectomy
- Endoscopic Skull-Base Repair of Cerebrospinal Fluid (CSF) Rhinorrhea/Otorrhea
- Ventriculoperitoneal (VP) Shunt Placement for Hydrocephalus
- Dexamethasone (Cerebral Edema Reduction) & Levetiracetam (Seizure Prophylaxis)
- Mannitol & Hypertonic Saline (Intracranial Pressure Management)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207T00000X — Neurological SurgeryPlain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) | State: AL | License: 19765 | Primary: Yes (Primary) |
174400000X — SpecialistPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: AL | License: 19765 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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