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NPI Detail
NPI: 1306849708
Type: Organization
Taxonomy Code: 207Q00000X
Physician/Family Practice
Allopathic & Osteopathic Physicians/Family Medicine


17 XXXXXXX XXX
BRATTLEBORO, VT 053013498
Mailing and Business location phone: (XXX) XXX-XXXX
Click here for new NPI search.


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2021 OPPS Part A Medicare Services Submitted NPI-1306849708*

OPPS Payment Method "A" - Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)

Top Level I HCPC Procedures
ProcedureDescriptionNumber SubmittedMedicare Payment
36415 ROUTINE VENIPUNCTURE XXXX $XXXX
97110 THERAPEUTIC EXERCISES XXXX $XXXXX.XX
85025 COMPLETE CBC W/AUTO DIFF WBC XXXX $XXXXX.XX
80053 COMPREHEN METABOLIC PANEL XXXX $XXXXX.XX
84443 ASSAY THYROID STIM HORMONE XXXX $XXXXX.XX
80061 LIPID PANEL XXXX $XXXXX.XX
80048 METABOLIC PANEL TOTAL CA XXXX $XXXX.XX
93005 ELECTROCARDIOGRAM TRACING XXXX $XXXX.XX
83036 HEMOGLOBIN GLYCOSYLATED A1C XXXX $XXXX.XX
97140 MANUAL THERAPY 1/> REGIONS XXXX $XXXXX.XX

Top Drugs Administered Other than Oral Method
ProcedureDescriptionNumber SubmittedMedicare Payment
J0878 Daptomycin injection XXXXX -
J1756 Iron sucrose injection XXXXX -
J1071 Inj testosterone cypionate XXXXX -
J9271 Inj pembrolizumab XXXXX $XXXXXX.XX
J9155 Degarelix injection XXXX $XXXX.XX
J9263 Oxaliplatin XXXX -
J0585 Injection,onabotulinumtoxina XXXX $XXXXX.XX
J2704 Inj, propofol, 10 mg XXXX -
J9306 Injection, pertuzumab, 1 mg XXXX -
J1100 Dexamethasone sodium phos XXXX -
J9177 Inj enfort vedo-ejfv 0.25mg XXXX $XXXXXX.XX
J0897 Denosumab injection XXXX $XXXXX.XX
J9033 Inj., treanda 1 mg XXXX $XXXXX.XX
J1459 Inj ivig privigen 500 mg XXXX $XXXXX.XX
J2795 Ropivacaine hcl injection XXXX -
J9144 Daratumumab, hyaluronidase XXXX $XXXXXX.XX
J2250 Inj midazolam hydrochloride XXXX -
J3380 Injection, vedolizumab XXXX $XXXXX.XX
J9305 Inj. pemetrexed nos 10mg XXXX $XXXXXX.XX
J0185 Inj., aprepitant, 1 mg XXXX $XXXX.XX
J0129 Abatacept injection XXXX $XXXXX.XX
J9145 Injection, daratumumab 10 mg XXXX $XXXXX.XX
J7168 Prothrombin complex kcentra XXXX -
J9267 Paclitaxel injection XXXX -

Top HCPC Level II Procedures / Professional Services
ProcedureDescriptionNumber SubmittedMedicare Payment
G0463 Hospital outpt clinic visit XXXXX $XXXXXX.XX
G0378 Hospital observation per hr XXXXX -


* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.


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