CMS-1500 Box 24J / 33a • NPI
1053565978
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207K00000X (CMS 03)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology
Box 32 Service Location & ZIP+4
395 W COUGAR BLVD STE 501, PROVO, UT, 84604-3323
✓ 9-Digit EDI 837 ZIP+4 (84604-3323)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1053565978 (JARON THADDEUS ABBOTT, 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 #1053565978)
Medicare Beneficiaries
75
Total Billed Services
1,021
Distinct CPT/HCPCS Codes
24
Medicare Allowed Total
$24,613.48
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
94010 | Test to measure expiratory airflow and volume | 21 |
95117 | Professional service for multiple injections of allergen | 138 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 15 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 31 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 37 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 23 | 11 |
| Azelastine Hcl Azelastine Hcl | 16 | <11 |
| Breo Ellipta Fluticasone/Vilanterol | 14 | <11 |
| Breyna Budesonide/Formoterol Fumarate | 18 | <11 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 40 | <11 |
| Epinephrine Epinephrine | 16 | 15 |
| Famotidine Famotidine | 11 | <11 |
| Fluticasone Propionate Fluticasone Propionate | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1053565978 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JARON THADDEUS ABBOTT, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology NUCC Code: 207K00000X (Allergy & Immunology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 395 W COUGAR BLVD STE 501, PROVO, UT, 84604-3323 |
| Practice Telephone / Fax | Tel: (801) 357-4960 |
| Administrative Mailing Address | PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 |
| Enumeration & Last Sync | Enumerated: 2008-11-05 | CMS Record Updated: 2026-01-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207K00000X)
What Does Taxonomy Code 207K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207K00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JARON THADDEUS ABBOTT, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207K00000X — Allergy & ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology | State: UT | License: 7277593-1205 | Primary: Yes (Primary) |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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