✓ Board-Certified Anesthesiologist & Interventional Pain Specialist (207L00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

SCOTT ABERNATHY (NPI #1639630817)

Anesthesiology • WORCESTER, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1639630817
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207L00000X (CMS 05)
Board-Certified Anesthesiologist & Interventional Pain Specialist
Box 32 Service Location & ZIP+4
55 LAKE AVE N, WORCESTER, MA, 01655-0002
✓ 9-Digit EDI 837 ZIP+4 (01655-0002)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1639630817 (SCOTT ABERNATHY) 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 #1639630817)

Medicare Beneficiaries
600
Total Billed Services
747
Distinct CPT/HCPCS Codes
87
Medicare Allowed Total
$74,588.14

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

CPT / HCPCSClinical Procedure DescriptionServices
00400 Anesthesia for other procedure on skin of arms, legs, and front body18
00410 Anesthesia for procedure to correct abnormal heart rhythm13
00520 Anesthesia for other closed procedure on chest18
00537 Anesthesia for procedure to assess heart electrical activity13
00670 Anesthesia for extensive surgery on spine28
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope94
00732 Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope17
00790 Anesthesia for other procedure on upper abdomen13

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1639630817 (NPI-1 Individual Practitioner)
Provider / Legal NameSCOTT ABERNATHY
Plain-English SpecialtyBoard-Certified Anesthesiologist & Interventional Pain Specialist
NUCC Code: 207L00000X (Anesthesiology)
Certifying / Licensing BodyAmerican Board of Anesthesiology (ABA)
Practice Location Address55 LAKE AVE N, WORCESTER, MA, 01655-0002
Practice Telephone / FaxTel: (508) 334-1131
Administrative Mailing Address55 LAKE AVE N, WORCESTER, MA, 01655-0002
Enumeration & Last SyncEnumerated: 2019-03-28 | CMS Record Updated: 2024-05-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

55 LAKE AVE N, WORCESTER, MA, 01655-0002

🗺️ Open in Google Maps 🏥 More Providers in WORCESTER

Plain-English Taxonomy & CMS Crosswalk (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SCOTT ABERNATHY)

Typical CPT / Diagnostic Procedures:
  • General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
  • Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
  • Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks
Common Therapeutic Classes:
  • Propofol, Sevoflurane, Rocuronium & Sugammadex
  • Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207L00000X — Anesthesiology
Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist
State: NC | License: 2023-00820 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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