✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RH0003X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

STEVEN ADES, MD (NPI #1972796167)

Internal Medicine, Hematology & Oncology • BURLINGTON, VT • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972796167
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RH0003X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
111 COLCHESTER AVE, HEMATOLOGY/ONCOLOGY, ACC LEVEL 2, BURLINGTON, VT, 05401-1473
✓ 9-Digit EDI 837 ZIP+4 (05401-1473)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972796167 (STEVEN ADES, 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 #1972796167)

Medicare Beneficiaries
161
Total Billed Services
449
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$58,188.74

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

CPT / HCPCSClinical Procedure DescriptionServices
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more175
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes50

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Abiraterone Acetate
Abiraterone Acetate
9121
Amlodipine Besylate
Amlodipine Besylate
21<11
Bicalutamide
Bicalutamide
1813
Cabometyx
Cabozantinib S-Malate
25<11
Creon
Lipase/Protease/Amylase
14<11
Dexamethasone
Dexamethasone
3519
Eliquis
Apixaban
5117
Furosemide
Furosemide
11<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972796167 (NPI-1 Individual Practitioner)
Provider / Legal NameSTEVEN ADES, MD
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RH0003X (Internal Medicine, Hematology & Oncology)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address111 COLCHESTER AVE, HEMATOLOGY/ONCOLOGY, ACC LEVEL 2, BURLINGTON, VT, 05401-1473
Practice Telephone / FaxTel: (802) 847-8400
Administrative Mailing Address89 BEAUMONT AVE, BURLINGTON, VT, 05405-1742
Enumeration & Last SyncEnumerated: 2007-08-22 | CMS Record Updated: 2007-08-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

111 COLCHESTER AVE, HEMATOLOGY/ONCOLOGY, ACC LEVEL 2, BURLINGTON, VT, 05401-1473

🗺️ Open in Google Maps 🏥 More Providers in BURLINGTON

Plain-English Taxonomy & CMS Crosswalk (207RH0003X)

What Does Taxonomy Code 207RH0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RH0003X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 83 (Physician/Hematology-Oncology)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (STEVEN ADES, MD)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207RH0003X — Internal Medicine, Hematology & Oncology
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: VT | License: 042-0011407 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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