CMS-1500 Box 24J / 33a • NPI
1669565636
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0000X (CMS 06)
Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
Box 32 Service Location & ZIP+4
4155 WINTHROP CIR, WILLIAMSBURG, VA, 23188-7611
✓ 9-Digit EDI 837 ZIP+4 (23188-7611)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669565636 (GERARD ABATE, 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 #1669565636)
Medicare Beneficiaries
161
Total Billed Services
520
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$59,669.10
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 82 |
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 20 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 14 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 59 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 298 |
99315 | Nursing facility discharge day management, 30 minutes or less | 15 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 13 | <11 |
| Acyclovir Acyclovir | 12 | <11 |
| Albuterol Sulfate Albuterol Sulfate | 39 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 46 | 24 |
| Alendronate Sodium Alendronate Sodium | 12 | <11 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 11 | <11 |
| Allopurinol Allopurinol | 22 | <11 |
| Alprazolam Alprazolam | 21 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669565636 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GERARD ABATE, M.D. |
| Plain-English Specialty | Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: 207RC0000X (Internal Medicine, Cardiovascular Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine — Cardiovascular Disease |
| Practice Location Address | 4155 WINTHROP CIR, WILLIAMSBURG, VA, 23188-7611 |
| Practice Telephone / Fax | Tel: (540) 220-6216 | Fax: (386) 627-1598 |
| Administrative Mailing Address | 4155 WINTHROP CIR, WILLIAMSBURG, VA, 23188-7611 |
| Enumeration & Last Sync | Enumerated: 2006-10-02 | CMS Record Updated: 2024-07-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)
What Does Taxonomy Code 207RC0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GERARD ABATE, M.D.)
Typical CPT / Diagnostic Procedures:- Transthoracic Doppler Echocardiography (TTE — CPT 93306)
- 12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
- Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
- Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)
- High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
- Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
- Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
- Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: VA | License: 0101040491 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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