CMS-1500 Box 24J / 33a • NPI
1154907061
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
45465 FIFTH AVE, CALLAHAN, FL, 32011-3901
✓ 9-Digit EDI 837 ZIP+4 (32011-3901)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154907061 (GARRETT D CUDMORE, DO) 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 #1154907061)
Medicare Beneficiaries
87
Total Billed Services
286
Distinct CPT/HCPCS Codes
28
Medicare Allowed Total
$17,559.26
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 47 |
83036 | Hemoglobin a1c level | 11 |
90662 | Influenza vaccine split virus, preservative free | 16 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 29 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 12 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 54 |
G0008 | Administration of influenza virus vaccine | 13 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 51 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 11 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 17 | 12 |
| Atorvastatin Calcium Atorvastatin Calcium | 35 | 20 |
| Buspirone Hcl Buspirone Hcl | 15 | <11 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 16 | 12 |
| Diclofenac Sodium Diclofenac Sodium | 11 | <11 |
| Furosemide Furosemide | 15 | <11 |
| Gabapentin Gabapentin | 15 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154907061 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GARRETT D CUDMORE, DO |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 45465 FIFTH AVE, CALLAHAN, FL, 32011-3901 |
| Practice Telephone / Fax | Tel: (904) 879-4544 | Fax: (904) 390-7472 |
| Administrative Mailing Address | PO BOX 746638, ATLANTA, GA, 30374-6638 |
| Enumeration & Last Sync | Enumerated: 2021-03-22 | CMS Record Updated: 2024-09-05 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GARRETT D CUDMORE, DO)
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)
- 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 Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: FL | License: OS21394 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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