CMS-1500 Box 24J / 33a • NPI
1790746162
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207XS0106X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
825 OLD LANCASTER RD, BRYN MAWR, PA, 19010-3231
✓ 9-Digit EDI 837 ZIP+4 (19010-3231)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790746162 (JACK ABBOUDI, M.D.) 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 #1790746162)
Medicare Beneficiaries
822
Total Billed Services
3,497
Distinct CPT/HCPCS Codes
100
Medicare Allowed Total
$329,594.29
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20526 | Injection of carpal tunnel | 18 |
20550 | Injection into tendon or ligament | 235 |
20551 | Injection into tendon at attachment to bone or muscle | 28 |
20600 | Aspiration and/or injection of fluid from small joint | 44 |
20605 | Aspiration and/or injection of fluid from medium joint | 24 |
20610 | Aspiration and/or injection of fluid from large joint | 16 |
20612 | Aspiration and/or injection of cyst of tendon | 20 |
25600 | Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | 26 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 19 | 19 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 35 | 33 |
| Tramadol Hcl Tramadol Hcl | 65 | 62 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790746162 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JACK ABBOUDI, M.D. |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207XS0106X (Orthopaedic Surgery, Hand Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 825 OLD LANCASTER RD, BRYN MAWR, PA, 19010-3231 |
| Practice Telephone / Fax | Tel: (800) 321-9999 | Fax: (267) 479-1321 |
| Administrative Mailing Address | 833 CHESTNUT ST STE 502, PHILADELPHIA, PA, 19107-4405 |
| Enumeration & Last Sync | Enumerated: 2006-03-28 | CMS Record Updated: 2021-11-03 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207XS0106X)
What Does Taxonomy Code 207XS0106X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207XS0106X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JACK ABBOUDI, M.D.)
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
- 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 |
|---|---|
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NY | License: 308173 | Primary: Secondary |
207XS0106X — Orthopaedic Surgery, Hand SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NJ | License: 25MA09473400 | Primary: Secondary |
207XS0106X — Orthopaedic Surgery, Hand SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NY | License: 308173 | Primary: Secondary |
207XS0106X — Orthopaedic Surgery, Hand SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: PA | License: MD059555L | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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