CMS-1500 Box 24J / 33a • NPI
1366447203
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
20 PROSPECT AVE STE 501, HACKENSACK, NJ, 07601-1989
✓ 9-Digit EDI 837 ZIP+4 (07601-1989)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366447203 (CHARLES ANDREW ADAMS, 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 #1366447203)
Medicare Beneficiaries
95
Total Billed Services
180
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$24,131.23
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 12 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 60 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 |
99291 | Critical care, first 30-74 minutes | 43 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366447203 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHARLES ANDREW ADAMS, MD |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 208600000X (Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 20 PROSPECT AVE STE 501, HACKENSACK, NJ, 07601-1989 |
| Practice Telephone / Fax | Tel: (551) 996-4777 | Fax: (551) 996-0800 |
| Administrative Mailing Address | PO BOX 16149, RUMFORD, RI, 02916-0697 |
| Enumeration & Last Sync | Enumerated: 2005-06-16 | CMS Record Updated: 2025-10-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208600000X)
What Does Taxonomy Code 208600000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHARLES ANDREW ADAMS, 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 |
|---|---|
2086S0102X — Surgery, Surgical Critical CarePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care | State: NJ | License: 25MA06857900 | Primary: Secondary |
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NJ | License: 25MA06857900 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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