CMS-1500 Box 24J / 33a • NPI
1114289659
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207P00000X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
744 W 9TH ST, TULSA, OK, 74127-9020
✓ 9-Digit EDI 837 ZIP+4 (74127-9020)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114289659 (BOBBY RAY ABERNATHY, D.O.) 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 #1114289659)
Medicare Beneficiaries
203
Total Billed Services
242
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$21,696.09
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 24 |
99282 | Emergency department visit with straightforward medical decision making | 11 |
99283 | Emergency department visit with low level of medical decision making | 91 |
99284 | Emergency department visit with moderate level of medical decision making | 62 |
99285 | Emergency department visit with high level of medical decision making | 44 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Doxycycline Hyclate Doxycycline Hyclate | 15 | 15 |
| Meloxicam Meloxicam | 19 | 19 |
| Prednisone Prednisone | 14 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114289659 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BOBBY RAY ABERNATHY, D.O. |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207P00000X (Emergency Medicine) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 744 W 9TH ST, TULSA, OK, 74127-9020 |
| Practice Telephone / Fax | Tel: (918) 599-1000 |
| Administrative Mailing Address | 2744 W 66TH ST, TULSA, OK, 74132-1399 |
| Enumeration & Last Sync | Enumerated: 2012-06-11 | CMS Record Updated: 2018-09-13 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207P00000X)
What Does Taxonomy Code 207P00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BOBBY RAY ABERNATHY, D.O.)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: OK | License: 5342 | Primary: Yes (Primary) |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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