CMS-1500 Box 24J / 33a • NPI
1962453795
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207ND0900X (CMS 07)
Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
Box 32 Service Location & ZIP+4
3500 S WESTERN AVE, OKLAHOMA CITY, OK, 73109-2413
✓ 9-Digit EDI 837 ZIP+4 (73109-2413)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962453795 (CRAIG LEON ABBOTT, 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 #1962453795)
Medicare Beneficiaries
406
Total Billed Services
11,246
Distinct CPT/HCPCS Codes
40
Medicare Allowed Total
$1,845,003.55
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11102 | Biopsy of related skin growth, first growth | 23 |
13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 45 |
17000 | Destruction of precancer skin growth, 1 growth | 40 |
17003 | Destruction of precancer skin growth, 2-14 growths | 100 |
17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 274 |
17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 267 |
17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 24 |
17314 | Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks | 24 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cephalexin Cephalexin | 12 | <11 |
| Mupirocin Mupirocin | 11 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962453795 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CRAIG LEON ABBOTT, M.D. |
| Plain-English Specialty | Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: 207ND0900X (Dermatology, Dermatopathology) |
| Certifying / Licensing Body | American Board of Dermatology (ABD) |
| Practice Location Address | 3500 S WESTERN AVE, OKLAHOMA CITY, OK, 73109-2413 |
| Practice Telephone / Fax | Tel: (405) 632-5565 | Fax: (405) 632-3538 |
| Administrative Mailing Address | 801 YORK ST, MANITOWOC, WI, 54220-4630 |
| Enumeration & Last Sync | Enumerated: 2006-05-15 | CMS Record Updated: 2026-08-24 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207ND0900X)
What Does Taxonomy Code 207ND0900X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ND0900X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CRAIG LEON ABBOTT, M.D.)
Typical CPT / Diagnostic Procedures:- Full-Body Dermoscopy & Skin Cancer Screening
- Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
- Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)
- Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
- Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
- Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207NS0135X — Dermatology, Procedural DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: OK | License: 17800 | Primary: Secondary |
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: OK | License: 17800 | Primary: Secondary |
207ND0101X — Dermatology, MOHS-Micrographic SurgeryPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: OK | License: 17800 | Primary: Secondary |
207ND0900X — Dermatology, DermatopathologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: OK | License: 17800 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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