CMS-1500 Box 24J / 33a • NPI
1821664426
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
179 EVERETT RD, BARRE, MA, 01005-8944
✓ 9-Digit EDI 837 ZIP+4 (01005-8944)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821664426 (GABRIEL PAUL KONDROTAS, PA-C, ATC) 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 #1821664426)
Medicare Beneficiaries
177
Total Billed Services
834
Distinct CPT/HCPCS Codes
37
Medicare Allowed Total
$52,550.29
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 21 |
87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 13 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 103 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 230 |
99442 | Telephone medical discussion with physician, 11-20 minutes | 17 |
99495 | Transitional care management services for problem of at least moderate complexity | 14 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 60 | 33 |
| Alendronate Sodium Alendronate Sodium | 18 | <11 |
| Alprazolam Alprazolam | 34 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 191 | 61 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 | 13 |
| Atenolol Atenolol | 40 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 339 | 100 |
| Azithromycin Azithromycin | 16 | 16 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821664426 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GABRIEL PAUL KONDROTAS, PA-C, ATC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 179 EVERETT RD, BARRE, MA, 01005-8944 |
| Practice Telephone / Fax | Tel: (978) 551-5645 |
| Administrative Mailing Address | PO BOX 698, BARRE, MA, 01005-0698 |
| Enumeration & Last Sync | Enumerated: 2021-06-03 | CMS Record Updated: 2021-06-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GABRIEL PAUL KONDROTAS, PA-C, ATC)
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 |
|---|---|
2255A2300X — Specialist/Technologist, Athletic TrainerPlain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer | State: MA | License: 2912 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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