CMS-1500 Box 24J / 33a • NPI
1558073528
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
1385 W MAIN AVE, DE PERE, WI, 54115-9366
✓ 9-Digit EDI 837 ZIP+4 (54115-9366)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1558073528 (THOMAS WILLIAM ADLER, APNP) 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
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1558073528)
Medicare Beneficiaries
159
Total Billed Services
1,363
Distinct CPT/HCPCS Codes
31
Medicare Allowed Total
$69,469.74
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 28 |
51798 | Ultrasound measurement of bladder capacity after voiding | 47 |
81003 | Automated urinalysis test | 97 |
84153 | Psa (prostate specific antigen) measurement, total | 28 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 46 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 46 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 19 | 18 |
| Cephalexin Cephalexin | 66 | 47 |
| Finasteride Finasteride | 40 | 15 |
| Gemtesa Vibegron | 12 | <11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 13 | 13 |
| Levofloxacin Levofloxacin | 55 | 54 |
| Oxycodone Hcl Oxycodone Hcl | 15 | 15 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 29 | 26 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1558073528 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | THOMAS WILLIAM ADLER, APNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1385 W MAIN AVE, DE PERE, WI, 54115-9366 |
| Practice Telephone / Fax | Tel: (906) 235-1548 | Fax: (920) 455-9409 |
| Administrative Mailing Address | 1385 W MAIN AVE, DE PERE, WI, 54115-9366 |
| Enumeration & Last Sync | Enumerated: 2022-12-21 | CMS Record Updated: 2025-03-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (THOMAS WILLIAM ADLER, APNP)
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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: WI | License: 13383-33 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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