CMS-1500 Box 24J / 33a • NPI
1962583963
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
40 WRIGHT ST, PALMER, MA, 01069-1138
✓ 9-Digit EDI 837 ZIP+4 (01069-1138)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962583963 (ROBERT J CAMPBELL, MD) 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 #1962583963)
Medicare Beneficiaries
235
Total Billed Services
1,901
Distinct CPT/HCPCS Codes
59
Medicare Allowed Total
$111,858.64
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 161 |
27447 | Replacement of knee joint, both sides of knee | 16 |
73564 | X-ray of knee, 4 or more views | 19 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 41 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 98 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 120 |
99443 | Telephone medical discussion with physician, 21-30 minutes | 53 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Oxycodone Hcl Oxycodone Hcl | 24 | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962583963 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROBERT J CAMPBELL, MD |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207X00000X (Orthopaedic Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 40 WRIGHT ST, PALMER, MA, 01069-1138 |
| Practice Telephone / Fax | Tel: (413) 370-5356 | Fax: (413) 370-5775 |
| Administrative Mailing Address | 280 CHESTNUT ST, SPRINGFIELD, MA, 01199-1001 |
| Enumeration & Last Sync | Enumerated: 2006-10-17 | CMS Record Updated: 2021-03-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207X00000X)
What Does Taxonomy Code 207X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROBERT J CAMPBELL, MD)
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
- 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 Description | State License & Primary Status |
|---|---|
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: RI | License: MD11748 | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: MA | License: 249422 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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