CMS-1500 Box 24J / 33a • NPI
1245931831
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
100 E CARROLL ST, SALISBURY, MD, 21801-5422
✓ 9-Digit EDI 837 ZIP+4 (21801-5422)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245931831 (JOHN ANTHONY ACHEY) 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
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1245931831)
Medicare Beneficiaries
360
Total Billed Services
454
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$49,242.85
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
12001 | Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | 11 |
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 57 |
99284 | Emergency department visit with moderate level of medical decision making | 132 |
99285 | Emergency department visit with high level of medical decision making | 191 |
99291 | Critical care, first 30-74 minutes | 29 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 15 | 15 |
| Cephalexin Cephalexin | 23 | 23 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 12 | 12 |
| Doxycycline Hyclate Doxycycline Hyclate | 23 | 22 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 13 | 13 |
| Ondansetron Hcl Ondansetron Hcl | 13 | 13 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 12 | 12 |
| Prednisone Prednisone | 27 | 27 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245931831 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JOHN ANTHONY ACHEY |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 100 E CARROLL ST, SALISBURY, MD, 21801-5422 |
| Practice Telephone / Fax | Tel: (410) 543-7742 |
| Administrative Mailing Address | 100 E CARROLL ST, SALISBURY, MD, 21801-5422 |
| Enumeration & Last Sync | Enumerated: 2023-03-13 | CMS Record Updated: 2023-03-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JOHN ANTHONY ACHEY)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WE0003X — Registered Nurse, EmergencyPlain English: Licensed & Credentialed Registered Nurse, Emergency | State: MD | License: R194319 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MD | License: R194319 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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