CMS-1500 Box 24J / 33a • NPI
1093761298
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
502 W COURT ST, JASPER, AR, 72641
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093761298 (MICHAEL THOMPSON, PA) 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
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1093761298)
Medicare Beneficiaries
169
Total Billed Services
242
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$10,965.24
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 51 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 127 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Advair Hfa Fluticasone Propion/Salmeterol | 29 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 126 | 30 |
| Alendronate Sodium Alendronate Sodium | 59 | <11 |
| Alprazolam Alprazolam | 166 | 26 |
| Amiodarone Hcl Amiodarone Hcl | 16 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 142 | 36 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 53 | 49 |
| Aripiprazole Aripiprazole | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093761298 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL THOMPSON, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 502 W COURT ST, JASPER, AR, 72641 |
| Practice Telephone / Fax | Tel: (870) 446-2203 | Fax: (870) 446-2206 |
| Administrative Mailing Address | PO BOX 5387, NORMAN, OK, 73070-5387 |
| Enumeration & Last Sync | Enumerated: 2006-05-26 | CMS Record Updated: 2022-01-05 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL THOMPSON, PA)
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 |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: TX | License: PA01883 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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