CMS-1500 Box 24J / 33a • NPI
1952411266
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
3385 G ST, SUITE A, MERCED, CA, 95340-0964
✓ 9-Digit EDI 837 ZIP+4 (95340-0964)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952411266 (ALBERT PROMIS COL, 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 #1952411266)
Medicare Beneficiaries
369
Total Billed Services
1,993
Distinct CPT/HCPCS Codes
81
Medicare Allowed Total
$164,268.22
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11104 | Punch biopsy, first skin growth | 93 |
11105 | Punch biopsy, each additional skin growth | 15 |
11300 | Shaving of skin growth of body, arms, or legs, 0.5 cm or less | 14 |
11301 | Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | 34 |
11302 | Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm | 19 |
11306 | Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm | 11 |
11311 | Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | 14 |
11641 | Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | 16 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Allopurinol Allopurinol | 13 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 43 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 63 | 19 |
| Betamethasone Dipropionate Betamethasone Dipropionate | 18 | 11 |
| Clobetasol Propionate Clobetasol Propionate | 28 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 12 | <11 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 15 | <11 |
| Hydrochlorothiazide Hydrochlorothiazide | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952411266 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ALBERT PROMIS COL, M.D. |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 3385 G ST, SUITE A, MERCED, CA, 95340-0964 |
| Practice Telephone / Fax | Tel: (209) 725-3122 | Fax: (209) 725-3128 |
| Administrative Mailing Address | PO BOX 3768, MERCED, CA, 95344-3768 |
| Enumeration & Last Sync | Enumerated: 2006-08-30 | CMS Record Updated: 2025-12-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALBERT PROMIS COL, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: CA | License: G61355 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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