ADVANCED BREAST CARE OF THE PALM BEACHES, PA. — NPI 1780906909 (Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) in WELLINGTON, FL)

CMS-1500 Box 24J / 33a • NPI

1780906909

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208600000X (CMS 02)

Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)

Box 32 Service Location & ZIP+4

12160 S SHORE BLVD, SUITE 103, WELLINGTON, FL, 33414-6269

✓ 9-Digit EDI 837 ZIP+4 (33414-6269)

Practice Phone & Referral Fax

(561) 798-7494

Fax: (978) 327-7952

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780906909 (ADVANCED BREAST CARE OF THE PALM BEACHES, 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1780906909` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED BREAST CARE OF THE PALM BEACHES, PA.
Plain-English Specialty	Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: `208600000X` (Surgery)
Certifying / Licensing Body	American Board of Orthopaedic Surgery (ABOS)
Practice Location Address	12160 S SHORE BLVD, SUITE 103, WELLINGTON, FL, 33414-6269
Practice Telephone / Fax	Tel: (561) 798-7494 \| Fax: (978) 327-7952
Administrative Mailing Address	125 S STATE ROAD 7, WELLINGTON, FL, 33414-4385
Enumeration & Last Sync	Enumerated: 2010-02-16 \| CMS Record Updated: 2010-08-24
Authorized Official	KATHLEEN MINNICK (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12160 S SHORE BLVD, SUITE 103, WELLINGTON, FL, 33414-6269

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Plain-English Taxonomy & CMS Crosswalk (208600000X)

What Does Taxonomy Code 208600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED BREAST CARE OF THE PALM BEACHES, PA.)

Typical CPT / Diagnostic Procedures:

Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
Fracture Reduction, Internal Fixation & Carpal Tunnel Release

Common Therapeutic Classes:

NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
Intra-Articular Triamcinolone Acetonide & Methylprednisolone
Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: FL \| License: `ME78137` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED BREAST CARE OF THE PALM BEACHES, PA. (NPI #1780906909)