CMS-1500 Box 24J / 33a • NPI
1295993871
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0204X (CMS 94)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology
Box 32 Service Location & ZIP+4
1619 N GREENWOOD ST STE 103, PUEBLO, CO, 81003-2655
✓ 9-Digit EDI 837 ZIP+4 (81003-2655)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1295993871 (MARK FREDRIC ABBOTT, 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 #1295993871)
Medicare Beneficiaries
2,526
Total Billed Services
5,685
Distinct CPT/HCPCS Codes
191
Medicare Allowed Total
$313,486.41
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36561 | Insertion of central venous tube with port (5 years or older) | 22 |
70450 | Ct scan head or brain without contrast | 294 |
70486 | Ct scan of face without contrast | 14 |
70496 | Ct scan of blood vessels of head with contrast | 55 |
70498 | Ct scan of blood vessels of neck with contrast | 60 |
70551 | Mri scan of brain without contrast | 68 |
70551 | Mri scan of brain without contrast | 20 |
70553 | Mri scan of brain before and after contrast | 28 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1295993871 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARK FREDRIC ABBOTT, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology NUCC Code: 2085R0204X (Radiology, Vascular & Interventional Radiology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1619 N GREENWOOD ST STE 103, PUEBLO, CO, 81003-2655 |
| Practice Telephone / Fax | Tel: (719) 542-2167 |
| Administrative Mailing Address | 1619 N GREENWOOD ST STE 103, PUEBLO, CO, 81003-2655 |
| Enumeration & Last Sync | Enumerated: 2008-05-29 | CMS Record Updated: 2025-04-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0204X)
What Does Taxonomy Code 2085R0204X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0204X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARK FREDRIC ABBOTT, M.D.)
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 |
|---|---|
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: NC | License: 149032 | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: UT | License: 8495680-1205 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: UT | License: 8495680-1205 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: CO | License: DR.0056380 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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