CMS-1500 Box 24J / 33a • NPI
1659420180
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
1060 GAFFNEY RD STE 7440, COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, FT WAINWRIGHT, AK, 99703-7440
✓ 9-Digit EDI 837 ZIP+4 (99703-7440)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1659420180 (KEITH A LUND) 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 #1659420180)
Medicare Beneficiaries
58
Total Billed Services
133
Distinct CPT/HCPCS Codes
32
Medicare Allowed Total
$8,082.23
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90480 | Admn sarscov2 vacc 1 dose | 11 |
91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 37 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1659420180 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KEITH A LUND |
| 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 | 1060 GAFFNEY RD STE 7440, COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, FT WAINWRIGHT, AK, 99703-7440 |
| Practice Telephone / Fax | Tel: (907) 353-5418 | Fax: (907) 353-4847 |
| Administrative Mailing Address | 1060 GAFFNEY RD STE 7440, FT WAINWRIGHT, AK, 99703-7440 |
| Enumeration & Last Sync | Enumerated: 2007-01-10 | CMS Record Updated: 2007-07-08 |
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 (KEITH A LUND)
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: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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