ABIGAIL M BALES MD
NPI 1013275940
Internal Medicine in Madison, WI
About Abigail M Bales Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIGAIL M BALES MD (NPI 1013275940) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (61155-20) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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
Abigail M Bales Md 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unitypoint Health - Meriter
Acute Care Hospitals · Madison, WISauk Prairie Hospital
Acute Care Hospitals · Prairie Du Sac, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53717
MADISON, WI 53717
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 Abigail Bales's NPI number?
The NPI number for Abigail Bales is 1013275940. It was assigned to this individual provider in the NPPES registry on April 28, 2012.
Where is Abigail Bales located?
Abigail Bales practices at 451 Junction Rd, Madison, WI 53717. The listed phone number is (608) 265-1600.
What is Abigail Bales's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Abigail Bales enrolled in Medicare?
Yes. Abigail Bales 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 Abigail Bales accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz and Security Health Plan list Abigail Bales 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 Abigail Bales affiliated with any hospitals?
According to CMS data, Abigail Bales is affiliated with Unitypoint Health - Meriter, Sauk Prairie Hospital and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Abigail Bales was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Abigail M Bales, MD · NPI 1013275940
Internal Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 28, 2012.
## Identity
- **NPI:** 1013275940 (Entity type: Individual)
- **Enumerated:** April 28, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 61155-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 451 JUNCTION RD, Madison, WI 53717-2656
- **Phone:** (608) 265-1600 · **Fax:** (608) 265-7642
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** February 15, 2022
- **Other identifiers:** Medicaid 1013275940 (WI); Other P01633292 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1013275940) · Data from the CMS NPPES public registry.