CMS-1500 Box 24J / 33a • NPI
1063433449
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
2500 NE NEFF RD, BEND, OR, 97701-6015
✓ 9-Digit EDI 837 ZIP+4 (97701-6015)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1063433449 (ROBERT A ABERNATHY, 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 #1063433449)
Medicare Beneficiaries
161
Total Billed Services
283
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$31,486.27
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 96 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 67 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 18 |
99239 | Hospital discharge day management, more than 30 minutes | 21 |
G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 25 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1063433449 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROBERT A ABERNATHY, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 2500 NE NEFF RD, BEND, OR, 97701-6015 |
| Practice Telephone / Fax | Tel: (541) 706-6892 | Fax: (541) 706-6813 |
| Administrative Mailing Address | PO BOX 1193, CORVALLIS, OR, 97339-1193 |
| Enumeration & Last Sync | Enumerated: 2006-07-21 | CMS Record Updated: 2025-11-04 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207R00000X)
What Does Taxonomy Code 207R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROBERT A ABERNATHY, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OR | License: MD28967 | Primary: Yes (Primary) |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: OR | License: MD28967 | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: SC | License: 84122 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: GA | License: 049132 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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