DR. RICHARD ANTHONY ABALLAY MD
NPI 1063577377
General Practice in Lewisburg, TN

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
529 W COMMERCE ST, LEWISBURG, TN 37091(931) 270-9729 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2023, Jul 6, 2021 (2 updates tracked since 2021).

About Dr. Richard Anthony Aballay Md NPPES

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

DR. RICHARD ANTHONY ABALLAY MD (NPI 1063577377) is an individual general practice provider in Lewisburg, Tennessee, licensed in Kansas (04-46567) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Pawnee Valley Community Hospital, and maintains a secondary practice location in Tahlequah.

NPPES Registry Identity

NPI1063577377
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RICHARD ANTHONY ABALLAYCredential: MD
Location Address529 W COMMERCE STLewisburg, TN 37091-3219
Mailing AddressPo Box 751Hulbert, OK 74441-0751 · (918) 772-3390 · Fax (918) 772-2244
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 27, 2006
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1063577377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in KS · 04-46567 Licensed in OK · 37440 Licensed in TN · 42991
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License ML002796 (PA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License ML002796 (PA), 22698 (WV)
529 W COMMERCE ST, Lewisburg, TN 37091

Secondary Practice Location 1

Location 11500 E Downing St Ste 214Tahlequah, OK 74464-3379 · Phone (918) 431-0202

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

Dr. Richard Anthony Aballay 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.

PECOS PAC ID4082615166
PECOS Enrollment IDI20251031001576
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.

Hospital Affiliations CMS Care Compare

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

Pawnee Valley Community Hospital

Critical Access Hospitals · Larned, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171345
Location923 Carroll AvenueLarned, KS 67550 · Pawnee County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$216.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
529 W COMMERCE ST
LEWISBURG, TN 37091
Nurse Practitioner (Family)
529 W COMMERCE ST
LEWISBURG, TN 37091
Nurse Practitioner (Family)
529 W COMMERCE ST
LEWISBURG, TN 37091
Radiology (Diagnostic Radiology)
529 W COMMERCE ST
LEWISBURG, TN 37091
Nurse Practitioner
529 W COMMERCE ST
LEWISBURG, TN 37091
Family Medicine
529 W COMMERCE ST
LEWISBURG, TN 37091
Radiology (Diagnostic Radiology)
529 W COMMERCE ST
LEWISBURG, TN 37091
Clinic/Center (Rural Health)
529 W COMMERCE ST
LEWISBURG, TN 37091

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 Richard Aballay's NPI number?

The NPI number for Richard Aballay is 1063577377. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Richard Aballay located?

Richard Aballay practices at 529 W Commerce St, Lewisburg, TN 37091. The listed phone number is (931) 270-9729.

What is Richard Aballay's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Richard Aballay enrolled in Medicare?

Yes. Richard Aballay 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 Richard Aballay accept?

Health plans from CareSource, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Richard Aballay 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 Richard Aballay affiliated with any hospitals?

According to CMS data, Richard Aballay is affiliated with Pawnee Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Richard Aballay was last updated on June 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.