✓ Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) (207Q00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

RICK ARIAS (NPI #1124588199)

Family Medicine • MARSHALL, MI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1124588199
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
1174 W MICHIGAN AVE STE A, MARSHALL, MI, 49068-1625
✓ 9-Digit EDI 837 ZIP+4 (49068-1625)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124588199 (RICK ARIAS) 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 #1124588199)

Medicare Beneficiaries
88
Total Billed Services
183
Distinct CPT/HCPCS Codes
32
Medicare Allowed Total
$11,920.61

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus27
87804 Detection test by immunoassay with direct visual observation for influenza virus24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more18
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more34

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
1413
Azithromycin
Azithromycin
4038
Benzonatate
Benzonatate
1616
Diclofenac Sodium
Diclofenac Sodium
3736
Fluticasone Propionate
Fluticasone Propionate
1414
Methylprednisolone
Methylprednisolone
2727
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
1212
Ondansetron Odt
Ondansetron
1111

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1124588199 (NPI-1 Individual Practitioner)
Provider / Legal NameRICK ARIAS
Plain-English SpecialtyBoard-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
NUCC Code: 207Q00000X (Family Medicine)
Certifying / Licensing BodyAmerican Board of Family Medicine (ABFM)
Practice Location Address1174 W MICHIGAN AVE STE A, MARSHALL, MI, 49068-1625
Practice Telephone / FaxTel: (269) 558-0700
Administrative Mailing Address13120 BISCAYNE BLVD, NORTH MIAMI, FL, 33181-2013
Enumeration & Last SyncEnumerated: 2019-03-25 | CMS Record Updated: 2023-07-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1174 W MICHIGAN AVE STE A, MARSHALL, MI, 49068-1625

🗺️ Open in Google Maps 🏥 More Providers in MARSHALL

Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RICK ARIAS)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
  • Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
  • Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
  • Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
  • Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
Common Therapeutic Classes:
  • Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
  • Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
  • Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
  • Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: MI | License: 4301505963 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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