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MS. KIMBERLY BETH ABDOW N.P.
NPI 1003007477
Registered Nurse - Psychiatric/Mental Health in Worcester, MA

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
41.51/100
CMS Quality Rating
435 SHREWSBURY ST, WORCESTER, MA 01609(508) 753-5554(508) 752-7245 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kimberly Beth Abdow N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY BETH ABDOW N.P. (NPI 1003007477) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN206918) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1003007477
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMS. KIMBERLY BETH ABDOWCredential: N.P.
Location Address435 SHREWSBURY STWorcester, MA 01609-2265
Mailing Address202 Russell StWorcester, MA 01609-2265 · (508) 753-5554
Phone(508) 753-5554
Fax(508) 752-7245
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 9, 2007
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1003007477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in MA · RN206918
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License 206917 (MA)
435 SHREWSBURY ST, Worcester, MA 01609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly Beth Abdow N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567558349
PECOS Enrollment IDI20071010000494
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Abdow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Healthcare Services
Same address
Psychiatry
435 SHREWSBURY ST
Worcester, MA 01604
  • Reassigned Medicare billing, Massachusetts enrollment
  • 31 clinicians in this Medicare group
NPI 1346397437 (508) 753-5554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
811 services170 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services31 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
63 services57 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
60 services56 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

41.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality21.7
Promoting Interoperability0
Improvement Activities0
Cost100

Reported Quality Measures

Documentation of Current Medications in the Medical Record
87%175 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%137 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Abdow's NPI number?

The NPI number for Kimberly Abdow is 1003007477. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Kimberly Abdow located?

Kimberly Abdow practices at 435 Shrewsbury St, Worcester, MA 01609. The listed phone number is (508) 753-5554.

What is Kimberly Abdow's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Kimberly Abdow enrolled in Medicare?

Yes. Kimberly Abdow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kimberly Abdow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Abdow reassigns Medicare benefits to Behavioral Healthcare Services (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Abdow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Abdow accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Abdow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Abdow was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.