✓ Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) (208800000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

EDWIN JASON ABEL, M.D. (NPI #1083800510)

Urology • MADISON, WI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1083800510
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208800000X (CMS 34)
Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
Box 32 Service Location & ZIP+4
600 HIGHLAND AVE, MADISON, WI, 53792-0001
✓ 9-Digit EDI 837 ZIP+4 (53792-0001)
Practice Phone & Referral Fax
Fax: (608) 265-8852
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083800510 (EDWIN JASON ABEL, 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 #1083800510)

Medicare Beneficiaries
296
Total Billed Services
553
Distinct CPT/HCPCS Codes
59
Medicare Allowed Total
$86,474.28

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
36415 Insertion of needle into vein for collection of blood sample14
50592 Destruction of growth of kidney using radiofrequency13
52000 Diagnostic exam of bladder and urethra using an endoscope79
81001 Manual urinalysis test with examination using microscope, automated14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more65
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more99

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Alfuzosin Hcl Er
Alfuzosin Hcl
13<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1083800510 (NPI-1 Individual Practitioner)
Provider / Legal NameEDWIN JASON ABEL, M.D.
Plain-English SpecialtyBoard-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
NUCC Code: 208800000X (Urology)
Certifying / Licensing BodyAmerican Board of Urology (ABU)
Practice Location Address600 HIGHLAND AVE, MADISON, WI, 53792-0001
Practice Telephone / FaxTel: (608) 263-4757 | Fax: (608) 265-8852
Administrative Mailing Address7974 UW HEALTH CT, MIDDLETON, WI, 53562-5531
Enumeration & Last SyncEnumerated: 2007-09-18 | CMS Record Updated: 2020-12-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

600 HIGHLAND AVE, MADISON, WI, 53792-0001

🗺️ Open in Google Maps 🏥 More Providers in MADISON

Plain-English Taxonomy & CMS Crosswalk (208800000X)

What Does Taxonomy Code 208800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208800000X translates to:
"Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 34 (Physician/Urology)
Certifying / Accrediting Authority: American Board of Urology (ABU)
Clinical Scope: Kidney stones causing flank pain, blood in urine (hematuria), recurrent urinary tract infections (UTIs), prostate enlargement, or urinary incontinence.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (EDWIN JASON ABEL, M.D.)

Typical CPT / Diagnostic Procedures:
  • Diagnostic Cystourethroscopy (CPT 52000) & Urodynamic Flow Studies
  • Ureteroscopy with Holmium Laser Lithotripsy for Kidney Stones (CPT 52356)
  • Extracorporeal Shock Wave Lithotripsy (ESWL — CPT 50590)
  • Prostate Specific Antigen (PSA) Screening & Ultrasound-Guided Biopsy
Common Therapeutic Classes:
  • Alpha-Blockers (Tamsulosin, Alfuzosin) for BPH & Ureteral Stone Passage
  • 5-Alpha Reductase Inhibitors (Finasteride, Dutasteride)
  • Targeted Urinary Antimicrobials (Nitrofurantoin, Fosfomycin, Ciprofloxacin, Septra)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
208800000X — Urology
Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
State: WI | License: 54867 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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