CMS-1500 Box 24J / 33a • NPI
1699412288
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
315 S MANNING BLVD, ALBANY, NY, 12208-1707
✓ 9-Digit EDI 837 ZIP+4 (12208-1707)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1699412288 (EDWIN AFENA, PA) 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 #1699412288)
Medicare Beneficiaries
287
Total Billed Services
6,152
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$380,057.08
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 224 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,579 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,272 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 28 |
99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 664 |
99443 | Telephone medical discussion with physician, 21-30 minutes | 48 |
99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 633 |
99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 537 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Admelog Solostar Insulin Lispro | 13 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 21 | 19 |
| Alprazolam Alprazolam | 23 | <11 |
| Amantadine Amantadine Hcl | 15 | <11 |
| Amiodarone Hcl Amiodarone Hcl | 11 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 122 | 38 |
| Aripiprazole Aripiprazole | 47 | <11 |
| Atenolol Atenolol | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1699412288 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EDWIN AFENA, PA |
| 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 | 315 S MANNING BLVD, ALBANY, NY, 12208-1707 |
| Practice Telephone / Fax | Tel: (518) 525-1550 |
| Administrative Mailing Address | PO BOX 14890, ALBANY, NY, 12212-4890 |
| Enumeration & Last Sync | Enumerated: 2022-05-16 | CMS Record Updated: 2022-11-15 |
Clinic Location, Accessibility & Directions
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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 (EDWIN AFENA, PA)
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: 029341 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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