CMS-1500 Box 24J / 33a • NPI
1235104621
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
2300 PARK AVE STE 206, ORANGE PARK, FL, 32073-5573
✓ 9-Digit EDI 837 ZIP+4 (32073-5573)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1235104621 (JEFFREY BLAKE BURNETTE, 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 #1235104621)
Medicare Beneficiaries
676
Total Billed Services
2,493
Distinct CPT/HCPCS Codes
47
Medicare Allowed Total
$367,306.92
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
0055T | Musculoskeletal surgical navigational orthopedic operation using imaging guidance | 100 |
20610 | Aspiration and/or injection of fluid from large joint | 66 |
27130 | Replacement of thigh bone and hip joint with prosthesis | 23 |
27447 | Replacement of knee joint, both sides of knee | 104 |
72100 | X-ray of lower and sacral spine, 2-3 views | 106 |
72170 | X-ray of pelvis, 1-2 views | 15 |
73502 | X-ray of hip, 2-3 views | 142 |
73522 | X-ray of both hips, 3-4 views | 22 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cephalexin Cephalexin | 18 | 15 |
| Meloxicam Meloxicam | 181 | 140 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1235104621 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JEFFREY BLAKE BURNETTE, MD |
| 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 | 2300 PARK AVE STE 206, ORANGE PARK, FL, 32073-5573 |
| Practice Telephone / Fax | Tel: (904) 634-0640 | Fax: (904) 634-0203 |
| Administrative Mailing Address | 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL, 32216-8203 |
| Enumeration & Last Sync | Enumerated: 2006-02-21 | CMS Record Updated: 2025-07-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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 (JEFFREY BLAKE BURNETTE, MD)
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 |
|---|---|
207XS0114X — Orthopaedic Surgery, Adult Reconstructive Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: FL | License: ME 116054 | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: FL | License: ME116054 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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