CMS-1500 Box 24J / 33a • NPI
1285601005
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
121 EVERETT RD, ALBANY, NY, 12205-1474
✓ 9-Digit EDI 837 ZIP+4 (12205-1474)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1285601005 (J. DAVID ABRAHAM, 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 #1285601005)
Medicare Beneficiaries
1,051
Total Billed Services
4,129
Distinct CPT/HCPCS Codes
81
Medicare Allowed Total
$363,332.37
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 285 |
27130 | Replacement of thigh bone and hip joint with prosthesis | 55 |
27447 | Replacement of knee joint, both sides of knee | 76 |
72100 | X-ray of lower and sacral spine, 2-3 views | 75 |
72110 | X-ray of lower and sacral spine, minimum of 4 views | 19 |
72148 | Mri scan of lower spinal canal without contrast | 31 |
72170 | X-ray of pelvis, 1-2 views | 103 |
73030 | X-ray of shoulder, minimum of 2 views | 36 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 144 | 121 |
| Cefuroxime Cefuroxime Axetil | 12 | <11 |
| Celecoxib Celecoxib | 97 | 40 |
| Clindamycin Hcl Clindamycin Hcl | 12 | <11 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 11 | <11 |
| Diclofenac Sodium Diclofenac Sodium | 18 | <11 |
| Gabapentin Gabapentin | 41 | <11 |
| Ibuprofen Ibuprofen | 79 | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1285601005 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | J. DAVID ABRAHAM, 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 | 121 EVERETT RD, ALBANY, NY, 12205-1474 |
| Practice Telephone / Fax | Tel: (518) 489-2663 | Fax: (518) 689-3881 |
| Administrative Mailing Address | 121 EVERETT RD, ALBANY, NY, 12205-1474 |
| Enumeration & Last Sync | Enumerated: 2006-03-01 | CMS Record Updated: 2025-05-28 |
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 (J. DAVID ABRAHAM, 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 |
|---|---|
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NY | License: 143487 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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