CMS-1500 Box 24J / 33a • NPI
1295845469
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
72 FILER ST, MANISTEE, MI, 49660-2717
✓ 9-Digit EDI 837 ZIP+4 (49660-2717)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1295845469 (PAUL JOSEPH ANTAL, 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
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 #1295845469)
Medicare Beneficiaries
153
Total Billed Services
2,761
Distinct CPT/HCPCS Codes
52
Medicare Allowed Total
$140,638.62
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 149 |
83036 | Hemoglobin a1c level | 137 |
90658 | Influenza vaccine, trivalent, 0.5 ml dosage | 57 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 84 |
96372 | Injection of drug or substance under skin or into muscle | 21 |
99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 28 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 348 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Albuterol Sulfate | 15 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 85 | 34 |
| Alcohol Prep Pads Alcohol Antiseptic Pads | 19 | <11 |
| Alendronate Sodium Alendronate Sodium | 19 | <11 |
| Allopurinol Allopurinol | 71 | 23 |
| Alosetron Hcl Alosetron Hcl | 12 | <11 |
| Alprazolam Alprazolam | 147 | 32 |
| Amitriptyline Hcl Amitriptyline Hcl | 29 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1295845469 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PAUL JOSEPH ANTAL, M.D. |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 72 FILER ST, MANISTEE, MI, 49660-2717 |
| Practice Telephone / Fax | Tel: (231) 723-5600 | Fax: (231) 723-1048 |
| Administrative Mailing Address | 72 FILER ST, MANISTEE, MI, 49660-2717 |
| Enumeration & Last Sync | Enumerated: 2006-08-30 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PAUL JOSEPH ANTAL, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: MI | License: 4301069804 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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