ANNETTE MARIE ABRIL M.D.
NPI 1013127430
Internal Medicine - Rheumatology in Kingsport, TN

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
88.81/100
CMS Quality Rating
3 SHERIDAN SQ, KINGSPORT, TN 37660(423) 392-6840(423) 392-6845 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annette Marie Abril M.d. NPPES

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

ANNETTE MARIE ABRIL M.D. (NPI 1013127430) is an individual rheumatology provider in Kingsport, Tennessee, licensed in Tennessee (MD000045213) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2004).

NPPES Registry Identity

NPI1013127430
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameANNETTE MARIE ABRILCredential: M.D.
Location Address3 SHERIDAN SQKingsport, TN 37660-7390
Mailing Address3 Sheridan SqKingsport, TN 37660-7390 · (423) 392-6840 · Fax (423) 392-6845
Fax(423) 392-6845
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2004
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 3, 2009
NPI 1013127430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TN · MD000045213
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3 SHERIDAN SQ, Kingsport, TN 37660

Other Identifiers 1

Other1031661492TN · Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Annette Marie Abril M.d. 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 ID9537207907
PECOS Enrollment IDI20091105000518
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.

Areas of Expertise CMS Part B claims 20

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.

Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
22,712 services21 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
8,600 services12 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
3,380 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,880 services31 patients
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.
966 services282 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
303 services68 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

88.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost62.71

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3 SHERIDAN SQ
KINGSPORT, TN 37660
Physician Assistant
3 SHERIDAN SQ, SUITE 300
KINGSPORT, TN 37660
Nurse Practitioner
3 SHERIDAN SQ
KINGSPORT, TN 37660
Internal Medicine (Rheumatology)
3 SHERIDAN SQ
KINGSPORT, TN 37660
Physician Assistant
3 SHERIDAN SQ
KINGSPORT, TN 37660
Internal Medicine (Rheumatology)
3 SHERIDAN SQ
KINGSPORT, TN 37660
Physician Assistant
3 SHERIDAN SQ
KINGSPORT, TN 37660

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 Annette Abril's NPI number?

The NPI number for Annette Abril is 1013127430. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Annette Abril located?

Annette Abril practices at 3 Sheridan Sq, Kingsport, TN 37660. The listed phone number is (423) 392-6840.

What is Annette Abril's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Annette Abril enrolled in Medicare?

Yes. Annette Abril 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.

What insurance does Annette Abril accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Annette Abril 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.

Is Annette Abril affiliated with any hospitals?

According to CMS data, Annette Abril is affiliated with Wellmont Bristol Regional Medical Center and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Annette Abril was last updated on December 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.