CMS-1500 Box 24J / 33a • NPI
1013972579
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207P00000X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
600 HIGHLAND AVE, MADISON, WI, 53792
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013972579 (MICHAEL K ABERNETHY, 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 #1013972579)
Medicare Beneficiaries
240
Total Billed Services
317
Distinct CPT/HCPCS Codes
27
Medicare Allowed Total
$37,267.87
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 35 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 43 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 15 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 61 |
99284 | Emergency department visit with moderate level of medical decision making | 51 |
99285 | Emergency department visit with high level of medical decision making | 61 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 35 | 15 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 24 | 22 |
| Azithromycin Azithromycin | 19 | 19 |
| Cephalexin Cephalexin | 30 | 30 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 13 | 13 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 11 | 11 |
| Prednisone Prednisone | 30 | 28 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013972579 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL K ABERNETHY, MD |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207P00000X (Emergency Medicine) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 600 HIGHLAND AVE, MADISON, WI, 53792 |
| Practice Telephone / Fax | Tel: (608) 262-2398 | Fax: (608) 262-9999 |
| Administrative Mailing Address | 7974 UW HEALTH CT, MIDDLETON, WI, 53562-5531 |
| Enumeration & Last Sync | Enumerated: 2006-04-19 | CMS Record Updated: 2009-02-09 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207P00000X)
What Does Taxonomy Code 207P00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL K ABERNETHY, MD)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: WI | License: 33145 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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