CMS-1500 Box 24J / 33a • NPI
1184253312
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207P00000X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
1500 E SHERMAN BLVD, MUSKEGON, MI, 49444-1849
✓ 9-Digit EDI 837 ZIP+4 (49444-1849)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184253312 (BERNADETTE MCDERMOTT DAZZO, 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 #1184253312)
Medicare Beneficiaries
151
Total Billed Services
175
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$25,954.01
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99283 | Emergency department visit with low level of medical decision making | 12 |
99284 | Emergency department visit with moderate level of medical decision making | 46 |
99285 | Emergency department visit with high level of medical decision making | 76 |
99291 | Critical care, first 30-74 minutes | 28 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cephalexin Cephalexin | 18 | 18 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 28 | 28 |
| Ondansetron Odt Ondansetron | 23 | 23 |
| Prednisone Prednisone | 27 | 27 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1184253312 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BERNADETTE MCDERMOTT DAZZO, DO |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207P00000X (Emergency Medicine) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 1500 E SHERMAN BLVD, MUSKEGON, MI, 49444-1849 |
| Practice Telephone / Fax | Tel: (231) 672-2000 |
| Administrative Mailing Address | 1675 LEAHY ST STE 315A, MUSKEGON, MI, 49442-5543 |
| Enumeration & Last Sync | Enumerated: 2020-04-08 | CMS Record Updated: 2023-06-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in MUSKEGON
🔒 Are you BERNADETTE MCDERMOTT DAZZO, DO? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (207P00000X)
What Does Taxonomy Code 207P00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BERNADETTE MCDERMOTT DAZZO, DO)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: MI | License: 5101026674 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.