CMS-1500 Box 24J / 33a • NPI
1669790317
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
7600 OLD DOMINION CT, APTOS, CA, 95003-3821
✓ 9-Digit EDI 837 ZIP+4 (95003-3821)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669790317 (KENNETH ANDREWS, DO) 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 #1669790317)
Medicare Beneficiaries
326
Total Billed Services
1,348
Distinct CPT/HCPCS Codes
34
Medicare Allowed Total
$138,831.92
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90653 | Influenza vaccine, inactivated | 30 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 |
98928 | Osteopathic manipulative treatment, 7-8 body regions | 286 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 515 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 214 |
G0008 | Administration of influenza virus vaccine | 33 |
G0009 | Administration of pneumococcal vaccine | 11 |
G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 13 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 46 | 17 |
| Allopurinol Allopurinol | 46 | 11 |
| Alprazolam Alprazolam | 34 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 134 | 36 |
| Atenolol Atenolol | 30 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 228 | 61 |
| Baclofen Baclofen | 15 | <11 |
| Benazepril Hcl Benazepril Hcl | 31 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669790317 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KENNETH ANDREWS, DO |
| 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 | 7600 OLD DOMINION CT, APTOS, CA, 95003-3821 |
| Practice Telephone / Fax | Tel: (831) 458-6200 |
| Administrative Mailing Address | 2025 SOQUEL AVE, SANTA CRUZ, CA, 95062-1323 |
| Enumeration & Last Sync | Enumerated: 2010-05-05 | CMS Record Updated: 2013-08-27 |
Clinic Location, Accessibility & Directions
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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 (KENNETH ANDREWS, DO)
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: CA | License: A10817 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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