CMS-1500 Box 24J / 33a • NPI
1770788689
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207P00000X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
4881 PALM BEACH BLVD STE 100, FORT MYERS, FL, 33905-3217
✓ 9-Digit EDI 837 ZIP+4 (33905-3217)
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT:
NPI
1770788689 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(4) — Felony Controlled Substance Conviction — Effective 2023-10-19). Verify before submitting Medicare/Medicaid claims.
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1770788689 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARTIN ACEVEDO BARRIOS, MD |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207P00000X (Emergency Medicine) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 4881 PALM BEACH BLVD STE 100, FORT MYERS, FL, 33905-3217 |
| Practice Telephone / Fax | Tel: (813) 380-4905 |
| Administrative Mailing Address | 540 JETT DR, JACKSON, KY, 41339-9622 |
| Enumeration & Last Sync | Enumerated: 2007-06-19 | CMS Record Updated: 2016-01-18 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207P00000X)
What Does Taxonomy Code 207P00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARTIN ACEVEDO BARRIOS, MD)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: FL | License: ME98414 | Primary: Secondary |
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: KY | License: 42222 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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