CMS-1500 Box 24J / 33a • NPI
1215081534
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
811 13TH ST, SUITE 20, AUGUSTA, GA, 30901-2700
✓ 9-Digit EDI 837 ZIP+4 (30901-2700)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215081534 (BRIAN E ABELL, D.O.) 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 #1215081534)
Medicare Beneficiaries
509
Total Billed Services
4,427
Distinct CPT/HCPCS Codes
92
Medicare Allowed Total
$271,178.39
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20605 | Aspiration and/or injection of fluid from medium joint | 25 |
20610 | Aspiration and/or injection of fluid from large joint | 168 |
23412 | Repair of chronic torn shoulder rotator cuff | 14 |
23430 | Anchoring of biceps tendon | 14 |
23472 | Prosthetic repair of shoulder joint, total shoulder | 41 |
28285 | Correction of toe joint deformity | 23 |
28308 | Incision or partial removal of foot bone (other than big toe) to straighten toe | 11 |
28750 | Fusion of big toe at joint with foot | 13 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 30 | 15 |
| Diclofenac Sodium Diclofenac Sodium | 22 | <11 |
| Gabapentin Gabapentin | 13 | <11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 86 | 70 |
| Ibuprofen Ibuprofen | 50 | 19 |
| Meloxicam Meloxicam | 229 | 80 |
| Methylprednisolone Methylprednisolone | 22 | 20 |
| Ondansetron Odt Ondansetron | 33 | 33 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215081534 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRIAN E ABELL, D.O. |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207X00000X (Orthopaedic Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 811 13TH ST, SUITE 20, AUGUSTA, GA, 30901-2700 |
| Practice Telephone / Fax | Tel: (706) 722-3401 | Fax: (706) 724-6540 |
| Administrative Mailing Address | 811 13TH ST, AUGUSTA, GA, 30901-2700 |
| Enumeration & Last Sync | Enumerated: 2007-01-23 | CMS Record Updated: 2015-07-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in AUGUSTA
🔒 Are you BRIAN E ABELL, D.O.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (207X00000X)
What Does Taxonomy Code 207X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRIAN E ABELL, D.O.)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: GA | License: 057916 | 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.