CMS-1500 Box 24J / 33a • NPI
1265497366
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
607 E PARKER RD, MORGANTON, NC, 28655-8105
✓ 9-Digit EDI 837 ZIP+4 (28655-8105)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265497366 (DAVID S ABERNATHY, M. D.) 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1265497366)
Medicare Beneficiaries
339
Total Billed Services
4,033
Distinct CPT/HCPCS Codes
52
Medicare Allowed Total
$205,296.11
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
80061 | Blood test, lipids (cholesterol and triglycerides) | 233 |
81003 | Automated urinalysis test | 164 |
82570 | Creatinine level to test for kidney function or muscle injury | 63 |
82947 | Blood glucose (sugar) level | 55 |
83036 | Hemoglobin a1c level | 184 |
87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 13 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 13 |
96372 | Injection of drug or substance under skin or into muscle | 22 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265497366 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DAVID S ABERNATHY, M. D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 607 E PARKER RD, MORGANTON, NC, 28655-8105 |
| Practice Telephone / Fax | Tel: (828) 433-0225 | Fax: (828) 437-0227 |
| Administrative Mailing Address | 607 E PARKER RD, MORGANTON, NC, 28655-8105 |
| Enumeration & Last Sync | Enumerated: 2006-04-20 | CMS Record Updated: 2018-11-06 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207R00000X)
What Does Taxonomy Code 207R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DAVID S ABERNATHY, M. D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: AR | License: N-6055 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NC | License: 27416 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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