CMS-1500 Box 24J / 33a • NPI
1942833397
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152W00000X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist
Box 32 Service Location & ZIP+4
1800 OLD LEBANON RD, CAMPBELLSVILLE, KY, 42718-9663
✓ 9-Digit EDI 837 ZIP+4 (42718-9663)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942833397 (THOMAS G ABELL, OD) 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
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1942833397)
Medicare Beneficiaries
382
Total Billed Services
1,295
Distinct CPT/HCPCS Codes
23
Medicare Allowed Total
$99,544.78
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
66821 | Removal of recurring cataract in lens capsule using a laser | 28 |
76514 | Ultrasound scan of cornea to determine thickness | 21 |
92004 | New patient complete exam of visual system | 81 |
92012 | Established patient problem focused exam of visual system | 147 |
92014 | Established patient complete exam of visual system | 324 |
92020 | Exam of the internal drainage system of eye | 13 |
92083 | Exam of visual field with extended testing | 92 |
92133 | Imaging of optic nerve | 212 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Brimonidine Tartrate Brimonidine Tartrate | 94 | 24 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 39 | 16 |
| Doxycycline Hyclate Doxycycline Hyclate | 12 | <11 |
| Erythromycin Erythromycin Base | 36 | 18 |
| Ketorolac Tromethamine Ketorolac Tromethamine | 65 | 53 |
| Latanoprost Latanoprost | 161 | 36 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 74 | 60 |
| Ofloxacin Ofloxacin | 17 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942833397 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | THOMAS G ABELL, OD |
| Plain-English Specialty | Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: 152W00000X (Optometrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1800 OLD LEBANON RD, CAMPBELLSVILLE, KY, 42718-9663 |
| Practice Telephone / Fax | Tel: (270) 789-2023 | Fax: (270) 465-5361 |
| Administrative Mailing Address | 2720 OLD ROSEBUD RD STE 110, LEXINGTON, KY, 40509-8005 |
| Enumeration & Last Sync | Enumerated: 2020-02-13 | CMS Record Updated: 2020-09-16 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (152W00000X)
What Does Taxonomy Code 152W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (THOMAS G ABELL, OD)
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 |
|---|---|
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: KY | License: 2198DT | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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