CMS-1500 Box 24J / 33a • NPI
1649723289
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
8103 OAK ORCHARD RD FL 2, BATAVIA, NY, 14020-1092
✓ 9-Digit EDI 837 ZIP+4 (14020-1092)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649723289 (MARON ELIZABETH BARRACLOUGH, PA-C) 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 #1649723289)
Medicare Beneficiaries
111
Total Billed Services
348
Distinct CPT/HCPCS Codes
26
Medicare Allowed Total
$18,528.63
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 12 |
90658 | Influenza vaccine, trivalent, 0.5 ml dosage | 13 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 101 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 38 |
G0008 | Administration of influenza virus vaccine | 13 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 |
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 | 97 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 54 | 16 |
| Alendronate Sodium Alendronate Sodium | 13 | <11 |
| Allopurinol Allopurinol | 20 | <11 |
| Alprazolam Alprazolam | 22 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 84 | 33 |
| Amoxicillin Amoxicillin | 30 | 27 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 36 | 35 |
| Aripiprazole Aripiprazole | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649723289 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARON ELIZABETH BARRACLOUGH, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8103 OAK ORCHARD RD FL 2, BATAVIA, NY, 14020-1092 |
| Practice Telephone / Fax | Tel: (585) 344-5470 | Fax: (585) 344-7451 |
| Administrative Mailing Address | 100 KINGS HWY S, ROCHESTER, NY, 14617-5504 |
| Enumeration & Last Sync | Enumerated: 2016-08-01 | CMS Record Updated: 2025-10-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARON ELIZABETH BARRACLOUGH, PA-C)
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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: NY | License: 019951 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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