CMS-1500 Box 24J / 33a • NPI
1851347678
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207T00000X (CMS 02)
Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)
Box 32 Service Location & ZIP+4
1251 HICKORY ST, MELBOURNE, FL, 32901-3221
✓ 9-Digit EDI 837 ZIP+4 (32901-3221)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1851347678 (RAFAEL ALLENDE, 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 #1851347678)
Medicare Beneficiaries
212
Total Billed Services
414
Distinct CPT/HCPCS Codes
49
Medicare Allowed Total
$102,485.77
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 13 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 69 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 20 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 90 |
99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 11 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 49 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 43 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Diclofenac Sodium Diclofenac Sodium | 12 | <11 |
| Gabapentin Gabapentin | 45 | 25 |
| Meloxicam Meloxicam | 135 | 57 |
| Methocarbamol Methocarbamol | 13 | <11 |
| Tizanidine Hcl Tizanidine Hcl | 20 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1851347678 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RAFAEL ALLENDE, M.D. |
| Plain-English Specialty | Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) NUCC Code: 207T00000X (Neurological Surgery) |
| Certifying / Licensing Body | American Board of Neurological Surgery (ABNS) |
| Practice Location Address | 1251 HICKORY ST, MELBOURNE, FL, 32901-3221 |
| Practice Telephone / Fax | Tel: (321) 434-3420 | Fax: (321) 434-3423 |
| Administrative Mailing Address | 3300 S FISKE BLVD, ROCKLEDGE, FL, 32955-4306 |
| Enumeration & Last Sync | Enumerated: 2006-05-25 | CMS Record Updated: 2023-05-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207T00000X)
What Does Taxonomy Code 207T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207T00000X translates to:
"Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RAFAEL ALLENDE, M.D.)
Typical CPT / Diagnostic Procedures:- Microsurgical Craniotomy for Brain Tumors & Intracranial Aneurysm Clipping/Coiling
- Anterior Cervical Discectomy & Fusion (ACDF) & Lumbar Microdiscectomy
- Endoscopic Skull-Base Repair of Cerebrospinal Fluid (CSF) Rhinorrhea/Otorrhea
- Ventriculoperitoneal (VP) Shunt Placement for Hydrocephalus
- Dexamethasone (Cerebral Edema Reduction) & Levetiracetam (Seizure Prophylaxis)
- Mannitol & Hypertonic Saline (Intracranial Pressure Management)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207T00000X — Neurological SurgeryPlain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) | State: FL | License: 100428 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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