CMS-1500 Box 24J / 33a • NPI
1609842624
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RX0202X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
600 HIGHLAND AVE, MADISON, WI, 53792-0001
✓ 9-Digit EDI 837 ZIP+4 (53792-0001)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1609842624 (MARK R ALBERTINI, 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 #1609842624)
Medicare Beneficiaries
71
Total Billed Services
366
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$17,040.14
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 | 75 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 91 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 127 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Hydrocortisone Hydrocortisone | 23 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1609842624 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARK R ALBERTINI, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RX0202X (Internal Medicine, Medical Oncology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 600 HIGHLAND AVE, MADISON, WI, 53792-0001 |
| Practice Telephone / Fax | Tel: (608) 265-1700 | Fax: (608) 262-1982 |
| Administrative Mailing Address | 7974 UW HEALTH CT, MIDDLETON, WI, 53562-5531 |
| Enumeration & Last Sync | Enumerated: 2006-02-28 | CMS Record Updated: 2021-01-14 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RX0202X)
What Does Taxonomy Code 207RX0202X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RX0202X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARK R ALBERTINI, MD)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RX0202X — Internal Medicine, Medical OncologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: WI | License: 26736 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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