CMS-1500 Box 24J / 33a • NPI
1124029699
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207XS0106X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
5653 FRIST BLVD STE 731, HERMITAGE, TN, 37076-2066
✓ 9-Digit EDI 837 ZIP+4 (37076-2066)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124029699 (PAUL A ABBEY, 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 #1124029699)
Medicare Beneficiaries
43
Total Billed Services
404
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$21,675.77
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 26 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 21 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Ibuprofen Ibuprofen | 28 | 23 |
| Methylprednisolone Methylprednisolone | 32 | 31 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 24 | 21 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124029699 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PAUL A ABBEY, MD |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207XS0106X (Orthopaedic Surgery, Hand Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 5653 FRIST BLVD STE 731, HERMITAGE, TN, 37076-2066 |
| Practice Telephone / Fax | Tel: (615) 885-2778 | Fax: (615) 986-6052 |
| Administrative Mailing Address | 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN, 37072-3132 |
| Enumeration & Last Sync | Enumerated: 2005-08-09 | CMS Record Updated: 2025-03-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207XS0106X)
What Does Taxonomy Code 207XS0106X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207XS0106X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PAUL A ABBEY, 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: TN | License: 21535 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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