CMS-1500 Box 24J / 33a • NPI
1457588402
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207W00000X (CMS 18)
Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
Box 32 Service Location & ZIP+4
1684 N PROSPECT AVE, MILWAUKEE, WI, 53202-2408
✓ 9-Digit EDI 837 ZIP+4 (53202-2408)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1457588402 (NICHOLAS J FRAME, 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 #1457588402)
Medicare Beneficiaries
798
Total Billed Services
2,904
Distinct CPT/HCPCS Codes
35
Medicare Allowed Total
$338,486.91
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
65855 | Laser repair to improve eye fluid flow | 43 |
66183 | Insertion of eye fluid drainage device | 15 |
66821 | Removal of recurring cataract in lens capsule using a laser | 73 |
66984 | Removal of cataract with insertion of prosthetic lens | 162 |
66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 31 |
76514 | Ultrasound scan of cornea to determine thickness | 85 |
92004 | New patient complete exam of visual system | 60 |
92012 | Established patient problem focused exam of visual system | 110 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alphagan P Brimonidine Tartrate | 25 | <11 |
| Atropine Sulfate Atropine Sulfate | 36 | 13 |
| Betaxolol Hcl Betaxolol Hcl | 12 | <11 |
| Brimonidine Tartrate Brimonidine Tartrate | 371 | 129 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 137 | 46 |
| Brinzolamide Brinzolamide | 59 | 15 |
| Combigan Brimonidine Tartrate/Timolol | 59 | 16 |
| Dorzolamide Hcl Dorzolamide Hcl | 255 | 87 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1457588402 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NICHOLAS J FRAME, M.D. |
| Plain-English Specialty | Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) NUCC Code: 207W00000X (Ophthalmology) |
| Certifying / Licensing Body | American Board of Ophthalmology (ABO) |
| Practice Location Address | 1684 N PROSPECT AVE, MILWAUKEE, WI, 53202-2408 |
| Practice Telephone / Fax | Tel: (414) 271-2020 | Fax: (414) 272-3932 |
| Administrative Mailing Address | 1684 N PROSPECT AVE, MILWAUKEE, WI, 53202-2408 |
| Enumeration & Last Sync | Enumerated: 2009-06-17 | CMS Record Updated: 2022-07-21 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207W00000X)
What Does Taxonomy Code 207W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207W00000X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NICHOLAS J FRAME, M.D.)
Typical CPT / Diagnostic Procedures:- Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
- Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
- Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
- Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening
- Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
- Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
- Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207WX0009X — Ophthalmology, Glaucoma SpecialistPlain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) | State: WI | License: 60463 | Primary: Secondary |
207W00000X — OphthalmologyPlain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) | State: WI | License: 60463 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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