CMS-1500 Box 24J / 33a • NPI
1174052187
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084P0800X (CMS 26)
Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)
Box 32 Service Location & ZIP+4
2750 E BELTLINE AVE NE FL 3, GRAND RAPIDS, MI, 49525-8614
✓ 9-Digit EDI 837 ZIP+4 (49525-8614)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1174052187 (NICHOLAS THOMAS 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 #1174052187)
Medicare Beneficiaries
49
Total Billed Services
213
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$20,661.67
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90833 | Psychotherapy with evaluation and management visit, 30 minutes | 26 |
96127 | Assessment of emotional or behavioral problems | 35 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 136 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alprazolam Alprazolam | 79 | 17 |
| Amitriptyline Hcl Amitriptyline Hcl | 13 | <11 |
| Aripiprazole Aripiprazole | 88 | 28 |
| Atomoxetine Hcl Atomoxetine Hcl | 29 | <11 |
| Bupropion Hcl Bupropion Hcl | 15 | <11 |
| Bupropion Hcl Sr Bupropion Hcl | 25 | <11 |
| Bupropion Xl Bupropion Hcl | 166 | 26 |
| Buspirone Hcl Buspirone Hcl | 104 | 25 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1174052187 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NICHOLAS THOMAS ABBEY, MD |
| Plain-English Specialty | Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: 2084P0800X (Psychiatry & Neurology, Psychiatry) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 2750 E BELTLINE AVE NE FL 3, GRAND RAPIDS, MI, 49525-8614 |
| Practice Telephone / Fax | Tel: (616) 447-5820 |
| Administrative Mailing Address | 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI, 49503-2560 |
| Enumeration & Last Sync | Enumerated: 2017-06-05 | CMS Record Updated: 2021-09-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)
What Does Taxonomy Code 2084P0800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NICHOLAS THOMAS ABBEY, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
- Psychopharmacological Management & Supportive Psychotherapy
- Medication-Assisted Treatment (MAT) for Substance Use Disorders
- SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
- Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
- Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: MI | License: 4301503822 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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