✓ Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) (208600000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

KATHERINE HELEN ALBUTT, MD, MPH (NPI #1952749509)

Surgery • BOSTON, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1952749509
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA, 02114
Official NPPES Practice Location
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1952749509 (KATHERINE HELEN ALBUTT, MD, MPH) 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 #1952749509)

Medicare Beneficiaries
372
Total Billed Services
847
Distinct CPT/HCPCS Codes
72
Medicare Allowed Total
$159,620.28

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
47562 Removal of gallbladder using an endoscope20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes106
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes125
99238 Hospital discharge day management, 30 minutes or less47
99291 Critical care, first 30-74 minutes245

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1952749509 (NPI-1 Individual Practitioner)
Provider / Legal NameKATHERINE HELEN ALBUTT, MD, MPH
Plain-English SpecialtyBoard-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
NUCC Code: 208600000X (Surgery)
Certifying / Licensing BodyAmerican Board of Orthopaedic Surgery (ABOS)
Practice Location AddressMASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA, 02114
Practice Telephone / FaxTel: (617) 726-2800
Administrative Mailing AddressMASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA, 02114
Enumeration & Last SyncEnumerated: 2013-06-05 | CMS Record Updated: 2020-07-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA, 02114

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Plain-English Taxonomy & CMS Crosswalk (208600000X)

What Does Taxonomy Code 208600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHERINE HELEN ALBUTT, MD, MPH)

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
Common Therapeutic Classes:
  • 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 DescriptionState License & Primary Status
208600000X — Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: MA | License: 266272 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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