CMS-1500 Box 24J / 33a • NPI
1083620280
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0129X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery
Box 32 Service Location & ZIP+4
5 FIRSTVILLAGE DRIVE, PINEHURST, NC, 28374
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083620280 (CLINTON KESLER ATKINSON, 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 #1083620280)
Medicare Beneficiaries
473
Total Billed Services
830
Distinct CPT/HCPCS Codes
83
Medicare Allowed Total
$129,659.39
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 14 |
36901 | Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 14 |
76937 | Ultrasonic guidance for blood vessel access | 30 |
93880 | Ultrasound of both sides of head and neck blood flow | 53 |
93882 | Ultrasound of one side of head and neck blood flow | 14 |
93923 | Complete ultrasound study of arm and leg arteries | 31 |
93925 | Ultrasound of leg arteries or artery grafts | 16 |
93926 | Ultrasound of one leg arteries or artery grafts | 18 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cilostazol Cilostazol | 67 | 23 |
| Clopidogrel Clopidogrel Bisulfate | 32 | 17 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 53 | 43 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083620280 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CLINTON KESLER ATKINSON, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery NUCC Code: 2086S0129X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5 FIRSTVILLAGE DRIVE, PINEHURST, NC, 28374 |
| Practice Telephone / Fax | Tel: (910) 295-6831 | Fax: (910) 295-0874 |
| Administrative Mailing Address | 5 FIRSTVILLAGE DRIVE, PINEHURST, NC, 28374 |
| Enumeration & Last Sync | Enumerated: 2006-07-31 | CMS Record Updated: 2018-09-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0129X)
What Does Taxonomy Code 2086S0129X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0129X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CLINTON KESLER ATKINSON, M.D.)
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 |
|---|---|
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: NC | License: 200200636 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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