CMS-1500 Box 24J / 33a • NPI
1649213596
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
102 W 112TH ST, CUT OFF, LA, 70345-3628
✓ 9-Digit EDI 837 ZIP+4 (70345-3628)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649213596 (GARY JOSEPH BIRDSALL, M.D.) 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 #1649213596)
Medicare Beneficiaries
187
Total Billed Services
2,429
Distinct CPT/HCPCS Codes
57
Medicare Allowed Total
$70,894.99
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 20 |
36415 | Insertion of needle into vein for collection of blood sample | 23 |
81002 | Urinalysis, manual test | 96 |
83036 | Hemoglobin a1c level | 153 |
87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 15 |
87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 33 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 17 |
96372 | Injection of drug or substance under skin or into muscle | 219 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acarbose Acarbose | 13 | <11 |
| Adacel Tdap Diph,pertuss(Acell),tet Vac/Pf | 18 | 18 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 133 | 43 |
| Alendronate Sodium Alendronate Sodium | 91 | 22 |
| Allopurinol Allopurinol | 121 | 35 |
| Alprazolam Alprazolam | 110 | 23 |
| Amiodarone Hcl Amiodarone Hcl | 28 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 195 | 62 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649213596 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GARY JOSEPH BIRDSALL, M.D. |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 102 W 112TH ST, CUT OFF, LA, 70345-3628 |
| Practice Telephone / Fax | Tel: (985) 632-5222 | Fax: (985) 632-4222 |
| Administrative Mailing Address | 102 W 112TH ST, CUT OFF, LA, 70345-3628 |
| Enumeration & Last Sync | Enumerated: 2006-06-14 | CMS Record Updated: 2014-03-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GARY JOSEPH BIRDSALL, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: LA | License: 017642 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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