CMS-1500 Box 24J / 33a • NPI
1093821464
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208200000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
Box 32 Service Location & ZIP+4
179 BELLE MEADE ROAD SUITE 1, EAST SETAUKET, NY, 11733
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093821464 (HILTON C ADLER, MD.) 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 #1093821464)
Medicare Beneficiaries
14
Total Billed Services
35
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$5,008.28
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093821464 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HILTON C ADLER, MD. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: 208200000X (Plastic Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 179 BELLE MEADE ROAD SUITE 1, EAST SETAUKET, NY, 11733 |
| Practice Telephone / Fax | Tel: (631) 751-4400 | Fax: (631) 689-2375 |
| Administrative Mailing Address | 179 BELLE MEADE ROAD SUITE 1, EAST SETAUKET, NY, 11733 |
| Enumeration & Last Sync | Enumerated: 2006-08-21 | CMS Record Updated: 2020-02-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208200000X)
What Does Taxonomy Code 208200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HILTON C ADLER, MD.)
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 |
|---|---|
2082S0105X — Plastic Surgery, Surgery of the HandPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand | State: NY | License: 139807 | Primary: Secondary |
208200000X — Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery | State: NY | License: 139807 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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