CMS-1500 Box 24J / 33a • NPI
1962962324
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
575 MAIN ST, GORHAM, ME, 04038-2623
✓ 9-Digit EDI 837 ZIP+4 (04038-2623)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962962324 (JUSTINE MARIE ACHILLE, 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 #1962962324)
Medicare Beneficiaries
113
Total Billed Services
801
Distinct CPT/HCPCS Codes
80
Medicare Allowed Total
$31,270.30
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 93 |
77063 | Screening 3d breast mammography | 17 |
77067 | Screening mammography | 17 |
80053 | Blood test, comprehensive group of blood chemicals | 47 |
80061 | Blood test, lipids (cholesterol and triglycerides) | 39 |
82306 | Vitamin d-3 level | 21 |
83036 | Hemoglobin a1c level | 18 |
84443 | Blood test, thyroid stimulating hormone (tsh) | 18 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 80 | 31 |
| Alendronate Sodium Alendronate Sodium | 59 | 22 |
| Allopurinol Allopurinol | 24 | <11 |
| Alprazolam Alprazolam | 28 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 22 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 137 | 46 |
| Amoxicillin Amoxicillin | 18 | 16 |
| Atenolol Atenolol | 84 | 24 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962962324 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JUSTINE MARIE ACHILLE, MD |
| 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 | 575 MAIN ST, GORHAM, ME, 04038-2623 |
| Practice Telephone / Fax | Tel: (207) 839-2559 |
| Administrative Mailing Address | PO BOX 9746, PORTLAND, ME, 04104-5040 |
| Enumeration & Last Sync | Enumerated: 2019-03-21 | CMS Record Updated: 2022-09-28 |
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 (JUSTINE MARIE ACHILLE, MD)
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 |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: ME | License: MD26128 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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