CMS-1500 Box 24J / 33a • NPI
1154808483
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
329 GLENMONT RD, GLENMONT, NY, 12077
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154808483 (LEA ABEL) 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
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1154808483)
Medicare Beneficiaries
83
Total Billed Services
99
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$9,959.44
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 28 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Ajovy Autoinjector Fremanezumab-Vfrm | 15 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 13 | <11 |
| Emgality Pen Galcanezumab-Gnlm | 30 | <11 |
| Gabapentin Gabapentin | 26 | <11 |
| Nortriptyline Hcl Nortriptyline Hcl | 70 | 22 |
| Rizatriptan Rizatriptan Benzoate | 11 | <11 |
| Sumatriptan Succinate Sumatriptan Succinate | 37 | 13 |
| Tizanidine Hcl Tizanidine Hcl | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154808483 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LEA ABEL |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 329 GLENMONT RD, GLENMONT, NY, 12077 |
| Practice Telephone / Fax | Tel: (518) 264-9000 |
| Administrative Mailing Address | 43 NEW SCOTLAND AVE, ALBANY, NY, 12208-3412 |
| Enumeration & Last Sync | Enumerated: 2018-07-19 | CMS Record Updated: 2018-08-14 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LEA ABEL)
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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: NY | License: 022281 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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