CMS-1500 Box 24J / 33a • NPI
1053678342
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084V0102X (CMS 86)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
9TH FLOOR -- NEUROSCIENCES, 190 E BANNOCK ST., BOISE, ID, 83712-8905
✓ 9-Digit EDI 837 ZIP+4 (83712-8905)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1053678342 (DANIEL CLARK ABENROTH, 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 #1053678342)
Medicare Beneficiaries
98
Total Billed Services
158
Distinct CPT/HCPCS Codes
11
Medicare Allowed Total
$19,602.87
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 40 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 |
99291 | Critical care, first 30-74 minutes | 32 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1053678342 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DANIEL CLARK ABENROTH, M.D. |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084V0102X (Psychiatry & Neurology, Vascular Neurology) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 9TH FLOOR -- NEUROSCIENCES, 190 E BANNOCK ST., BOISE, ID, 83712-8905 |
| Practice Telephone / Fax | Tel: (208) 381-7335 |
| Administrative Mailing Address | 9TH FLOOR -- NEUROSCIENCES, BOISE, ID, 83712-8905 |
| Enumeration & Last Sync | Enumerated: 2012-04-12 | CMS Record Updated: 2019-04-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2084V0102X)
What Does Taxonomy Code 2084V0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084V0102X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DANIEL CLARK ABENROTH, M.D.)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: ID | License: M-13696 | Primary: Secondary |
2084V0102X — Psychiatry & Neurology, Vascular NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: ID | License: M-13696 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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