CMS-1500 Box 24J / 33a • NPI
1578791307
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0129X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery
Box 32 Service Location & ZIP+4
2050 MEADOWVIEW PKWY, KINGSPORT, TN, 37660-7475
✓ 9-Digit EDI 837 ZIP+4 (37660-7475)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1578791307 (ROBERT CHARLES ALLEN) 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 #1578791307)
Medicare Beneficiaries
286
Total Billed Services
528
Distinct CPT/HCPCS Codes
66
Medicare Allowed Total
$93,258.85
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
35301 | Removal of blood clot and portion of chest, neck, or brain artery | 15 |
93880 | Ultrasound of both sides of head and neck blood flow | 70 |
93922 | Ultrasound study of arm and leg arteries | 51 |
93978 | Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 11 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 57 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 152 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 12 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cilostazol Cilostazol | 46 | 14 |
| Clopidogrel Clopidogrel Bisulfate | 186 | 58 |
| Eliquis Apixaban | 16 | <11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 12 | 12 |
| Rosuvastatin Calcium Rosuvastatin Calcium | 13 | <11 |
| Xarelto Rivaroxaban | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1578791307 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROBERT CHARLES ALLEN |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery NUCC Code: 2086S0129X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2050 MEADOWVIEW PKWY, KINGSPORT, TN, 37660-7475 |
| Practice Telephone / Fax | Tel: (423) 230-5000 | Fax: (423) 230-6852 |
| Administrative Mailing Address | 105 W STONE DR STE 6A, KINGSPORT, TN, 37660-3256 |
| Enumeration & Last Sync | Enumerated: 2009-07-01 | CMS Record Updated: 2022-07-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0129X)
What Does Taxonomy Code 2086S0129X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0129X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROBERT CHARLES ALLEN)
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 |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: TN | License: 55885 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: TN | License: 088001605 | Primary: Secondary |
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: TN | License: 55885 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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