CMS-1500 Box 24J / 33a • NPI
1316631450
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207QG0300X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
3020 S UNION AVE, TACOMA, WA, 98409-3317
✓ 9-Digit EDI 837 ZIP+4 (98409-3317)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1316631450 (DEJENE FENTA ABETEW, 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 #1316631450)
Medicare Beneficiaries
232
Total Billed Services
1,418
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$163,730.06
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 17 |
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 101 |
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 72 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 184 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 18 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 311 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 424 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 21 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 21 | 20 |
| Alendronate Sodium Alendronate Sodium | 16 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 43 | 40 |
| Atorvastatin Calcium Atorvastatin Calcium | 115 | 69 |
| Baclofen Baclofen | 22 | 11 |
| Carvedilol Carvedilol | 22 | 15 |
| Citalopram Hbr Citalopram Hydrobromide | 14 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 12 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1316631450 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DEJENE FENTA ABETEW, MD |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207QG0300X (Family Medicine, Geriatric Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 3020 S UNION AVE, TACOMA, WA, 98409-3317 |
| Practice Telephone / Fax | Tel: (253) 844-4327 |
| Administrative Mailing Address | 917 PACIFIC AVE STE 600, TACOMA, WA, 98402-4437 |
| Enumeration & Last Sync | Enumerated: 2023-06-02 | CMS Record Updated: 2025-08-06 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207QG0300X)
What Does Taxonomy Code 207QG0300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207QG0300X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DEJENE FENTA ABETEW, MD)
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 |
|---|---|
207QG0300X — Family Medicine, Geriatric MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: WA | License: MDCE.ML.61438135 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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