CMS-1500 Box 24J / 33a • NPI
1780373886
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
198 CHARLTON RD, STURBRIDGE, MA, 01566-1571
✓ 9-Digit EDI 837 ZIP+4 (01566-1571)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780373886 (PETER EARLE CESTODIO, NP) 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 #1780373886)
Medicare Beneficiaries
503
Total Billed Services
1,991
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$110,278.54
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 23 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 241 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 20 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 150 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 203 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alendronate Sodium Alendronate Sodium | 15 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 11 | <11 |
| Balsalazide Disodium Balsalazide Disodium | 19 | <11 |
| Cholestyramine Cholestyramine (With Sugar) | 34 | 13 |
| Cholestyramine Light Cholestyramine | 65 | 31 |
| Creon Lipase/Protease/Amylase | 38 | <11 |
| Dexlansoprazole Dr Dexlansoprazole | 12 | <11 |
| Dicyclomine Hcl Dicyclomine Hcl | 64 | 20 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1780373886 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PETER EARLE CESTODIO, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 198 CHARLTON RD, STURBRIDGE, MA, 01566-1571 |
| Practice Telephone / Fax | Tel: (508) 765-1600 |
| Administrative Mailing Address | 5 NEPONSET ST, WORCESTER, MA, 01606-2714 |
| Enumeration & Last Sync | Enumerated: 2023-05-04 | CMS Record Updated: 2026-08-07 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PETER EARLE CESTODIO, NP)
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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: MA | License: RN2340032 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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