CMS-1500 Box 24J / 33a • NPI
1043216484
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
2200 13TH AVE, BELLE FOURCHE, SD, 57717
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1043216484 (DOUGLAS D EVERSON, 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 #1043216484)
Medicare Beneficiaries
297
Total Billed Services
537
Distinct CPT/HCPCS Codes
40
Medicare Allowed Total
$22,346.13
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
80053 | Blood test, comprehensive group of blood chemicals | 28 |
83036 | Hemoglobin a1c level | 23 |
85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 47 |
93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 18 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 32 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 102 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 87 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 32 | 11 |
| Amoxicillin Amoxicillin | 32 | 31 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 29 | 29 |
| Atorvastatin Calcium Atorvastatin Calcium | 15 | <11 |
| Azithromycin Azithromycin | 29 | 27 |
| Cefadroxil Cefadroxil | 14 | 14 |
| Cefuroxime Cefuroxime Axetil | 17 | 16 |
| Cephalexin Cephalexin | 11 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1043216484 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DOUGLAS D EVERSON, MD |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 2200 13TH AVE, BELLE FOURCHE, SD, 57717 |
| Practice Telephone / Fax | Tel: (605) 892-2701 | Fax: (605) 644-4197 |
| Administrative Mailing Address | 353 FAIRMONT BLVD, RAPID CITY, SD, 57701-6000 |
| Enumeration & Last Sync | Enumerated: 2005-06-21 | CMS Record Updated: 2013-01-24 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DOUGLAS D EVERSON, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: SD | License: 4250 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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