COURTENAY E DEANE, DO — NPI 1720333891 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM in CROSBY, MN)

CMS-1500 Box 24J / 33a • NPI

1720333891

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

204D00000X (CMS 12)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM

Box 32 Service Location & ZIP+4

320 E MAIN ST, CROSBY, MN, 56441-1645

✓ 9-Digit EDI 837 ZIP+4 (56441-1645)

Practice Phone & Referral Fax

(218) 546-7000

Fax: (218) 546-4400

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720333891 (COURTENAY E DEANE, 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720333891` (NPI-1 Individual Practitioner)
Provider / Legal Name	COURTENAY E DEANE, DO
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM NUCC Code: `204D00000X` (Neuromusculoskeletal Medicine & OMM)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	320 E MAIN ST, CROSBY, MN, 56441-1645
Practice Telephone / Fax	Tel: (218) 546-7000 \| Fax: (218) 546-4400
Administrative Mailing Address	320 EAST MAIN STREET, CROSBY, MN, 56441
Enumeration & Last Sync	Enumerated: 2012-07-16 \| CMS Record Updated: 2022-07-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

320 E MAIN ST, CROSBY, MN, 56441-1645

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Plain-English Taxonomy & CMS Crosswalk (204D00000X)

What Does Taxonomy Code 204D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 12 (Physician/Osteopathic Manipulative Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Neuromusculoskeletal Medicine & OMM for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COURTENAY E DEANE, DO)

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

Common Therapeutic Classes:

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
`204D00000X` — Neuromusculoskeletal Medicine & OMM Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM	State: ME \| License: `DO2702` \| Primary: Secondary
`204D00000X` — Neuromusculoskeletal Medicine & OMM Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM	State: MN \| License: `62113` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COURTENAY E DEANE, DO (NPI #1720333891)