ABIGAIL JUSTINE RAO M.D.
NPI 1053636241
Neurological Surgery in Louisville, KY

Active since March 31, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4950 NORTON HEALTHCARE BLVD STE 205, LOUISVILLE, KY 40241(502) 394-6390(502) 394-6388 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Mar 12, 2020, May 29, 2019 and 2 more (5 updates tracked since 2017).

About Abigail Justine Rao M.d. NPPES

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

ABIGAIL JUSTINE RAO M.D. (NPI 1053636241) is an individual neurological surgery provider in Louisville, Kentucky, licensed in Kentucky (51563) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1053636241
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameABIGAIL JUSTINE RAOCredential: M.D.
Location Address4950 NORTON HEALTHCARE BLVD STE 205Louisville, KY 40241-2847
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 394-6388
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2010
Enumeration DateMarch 31, 2010
Last NPPES UpdateOctober 27, 20205 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1053636241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in KY · 51563 Licensed in CA · A146390
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4950 NORTON HEALTHCARE BLVD STE 205, Louisville, KY 40241

Secondary Practice Location 1

Location 110833 Le Conte AveLos Angeles, CA 90095-3011 · Phone (310) 825-0651

Other Identifiers 2

Medicaid7100569370KY
OtherK270630KY · Medicare

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 Justine Rao 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 ID7012162753
PECOS Enrollment IDI20180910001622
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 7

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
80 services80 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.
78 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services23 patients
Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 61886
This procedure involves placing a small device, called a neurostimulator, in your brain. It sends electrical impulses via 2 or more connected electrodes to specific brain areas to help control symptoms. It's a safe and common procedure.
21 services21 patients
Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain, first array 61863
This procedure involves removing a small piece of skull bone to insert neurostimulator electrodes into the brain. These electrodes, guided by advanced computer technology, help regulate abnormal brain activity. It's the first of multiple electrode arrays.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

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

Other Providers at the Same Location NPPES 3

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

Physician Assistant
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Nurse Practitioner (Acute Care)
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Internal Medicine (Gastroenterology)
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241

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 Rao's NPI number?

The NPI number for Abigail Rao is 1053636241. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Abigail Rao located?

Abigail Rao practices at 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241. The listed phone number is (502) 394-6390.

What is Abigail Rao's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Abigail Rao enrolled in Medicare?

Yes. Abigail Rao 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 Rao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Abigail Rao 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 Rao affiliated with any hospitals?

According to CMS data, Abigail Rao is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Abigail Rao was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.