CMS-1500 Box 24J / 33a • NPI
1710922398
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
270 PINE MOUNTAIN RD, SUITE 2, HUDSON, NC, 28638-2605
✓ 9-Digit EDI 837 ZIP+4 (28638-2605)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1710922398 (APRIL ELAINE COTTON, MD) 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 #1710922398)
Medicare Beneficiaries
198
Total Billed Services
873
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$59,546.57
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 12 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 12 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 61 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 460 |
99497 | Advance care planning, first 30 minutes | 27 |
G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 13 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 |
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 | 213 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 148 | 55 |
| Alendronate Sodium Alendronate Sodium | 12 | <11 |
| Allopurinol Allopurinol | 74 | 20 |
| Alosetron Hcl Alosetron Hcl | 14 | <11 |
| Alprazolam Alprazolam | 128 | 23 |
| Amlodipine Besylate Amlodipine Besylate | 423 | 114 |
| Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril | 22 | <11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 61 | 56 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1710922398 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | APRIL ELAINE COTTON, MD |
| 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 | 270 PINE MOUNTAIN RD, SUITE 2, HUDSON, NC, 28638-2605 |
| Practice Telephone / Fax | Tel: (828) 757-6330 | Fax: (828) 757-6349 |
| Administrative Mailing Address | 321 MULBERRY ST SW, LENOIR, NC, 28645-5720 |
| Enumeration & Last Sync | Enumerated: 2006-06-18 | CMS Record Updated: 2021-03-23 |
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 (APRIL ELAINE COTTON, MD)
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: NC | License: 2007-01798 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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