✓ Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) (207XS0117X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

JOSEPH ALBANO, D.O. (NPI #1548656820)

Orthopaedic Surgery, Orthopaedic Surgery of the Spine • MONTCLAIR, NJ • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1548656820
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207XS0117X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
242 CLAREMONT AVE, MONTCLAIR, NJ, 07042-2812
✓ 9-Digit EDI 837 ZIP+4 (07042-2812)
Practice Phone & Referral Fax
Fax: (973) 509-8421
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1548656820 (JOSEPH ALBANO, D.O.) 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 #1548656820)

Medicare Beneficiaries
219
Total Billed Services
1,109
Distinct CPT/HCPCS Codes
98
Medicare Allowed Total
$151,192.91

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
20610 Aspiration and/or injection of fluid from large joint66
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance13
27245 Treatment of broken neck of thigh bone with bone implant11
72100 X-ray of lower and sacral spine, 2-3 views16
72110 X-ray of lower and sacral spine, minimum of 4 views25
73030 X-ray of shoulder, minimum of 2 views30
73110 X-ray of wrist, minimum of 3 views40
73502 X-ray of hip, 2-3 views39

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Ibuprofen
Ibuprofen
1412
Meloxicam
Meloxicam
2416

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1548656820 (NPI-1 Individual Practitioner)
Provider / Legal NameJOSEPH ALBANO, D.O.
Plain-English SpecialtyBoard-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
NUCC Code: 207XS0117X (Orthopaedic Surgery, Orthopaedic Surgery of the Spine)
Certifying / Licensing BodyAmerican Board of Orthopaedic Surgery (ABOS)
Practice Location Address242 CLAREMONT AVE, MONTCLAIR, NJ, 07042-2812
Practice Telephone / FaxTel: (973) 783-1444 | Fax: (973) 509-8421
Administrative Mailing Address242 CLAREMONT AVE, MONTCLAIR, NJ, 07042-2812
Enumeration & Last SyncEnumerated: 2015-04-13 | CMS Record Updated: 2021-09-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

242 CLAREMONT AVE, MONTCLAIR, NJ, 07042-2812

🗺️ Open in Google Maps 🏥 More Providers in MONTCLAIR

Plain-English Taxonomy & CMS Crosswalk (207XS0117X)

What Does Taxonomy Code 207XS0117X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207XS0117X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 20 (Physician/Orthopedic Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOSEPH ALBANO, D.O.)

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
Common Therapeutic Classes:
  • 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 DescriptionState License & Primary Status
207XS0117X — Orthopaedic Surgery, Orthopaedic Surgery of the Spine
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: TX | License: S4592 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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