CMS-1500 Box 24J / 33a • NPI
1104091438
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
300 W OTTLEY AVE, FRUITA, CO, 81521-2118
✓ 9-Digit EDI 837 ZIP+4 (81521-2118)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104091438 (RICHARD MICHAEL ACKERSON, 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 #1104091438)
Medicare Beneficiaries
85
Total Billed Services
207
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$16,686.04
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
73140 | X-ray of finger, minimum of 2 views | 18 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 49 |
J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 27 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Oxycodone Hcl Oxycodone Hcl | 79 | 71 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104091438 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RICHARD MICHAEL ACKERSON, MD |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207X00000X (Orthopaedic Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 300 W OTTLEY AVE, FRUITA, CO, 81521-2118 |
| Practice Telephone / Fax | Tel: (970) 858-2705 | Fax: (970) 858-9961 |
| Administrative Mailing Address | PO BOX 130, FRUITA, CO, 81521-0130 |
| Enumeration & Last Sync | Enumerated: 2008-04-28 | CMS Record Updated: 2023-09-11 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207X00000X)
What Does Taxonomy Code 207X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RICHARD MICHAEL ACKERSON, MD)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207XS0106X — Orthopaedic Surgery, Hand SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CO | License: DR.0048512 | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CO | License: DR.0048512 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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