DR. RICHARD ANTHONY ABALLAY MD
NPI 1063577377
General Practice in Lewisburg, TN
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, maintains a secondary practice location in Tahlequah, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Richard Aballay reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, TN 37064
- Reassigned Medicare billing, Tennessee enrollment
- 9 clinicians in this Medicare group
Westville, OK 74965
- Reassigned Medicare billing, Oklahoma enrollment
- 65 clinicians in this Medicare group
Ocoee, FL 34761
- Reassigned Medicare billing, Florida enrollment
- 229 clinicians in this Medicare group
Great Bend, KS 67530
- Reassigned Medicare billing, Kansas enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Richard Aballay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Aballay reassigns Medicare benefits to 4 organizations: Williamson Family Medicine, PLLC (Franklin, TN), Northeastern Oklahoma Community Health Centers, Inc (Westville, OK), Guidewell Sanitas I, LLC (Ocoee, FL) and Heart Of Kansas Family Health Care, Inc. (Great Bend, KS). Each 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 Richard Aballay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Aballay accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and CareSource and 5 other insurers 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.
When was this NPI record last updated?
The NPPES record for Richard Aballay was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Richard Anthony Aballay, MD · NPI 1063577377
General Practice physician in Lewisburg, Tennessee. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1063577377 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 04-46567 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 529 W COMMERCE ST, Lewisburg, TN 37091-3219
- **Phone:** (931) 270-9729
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Williamson Family Medicine, PLLC (NPI 1134966906, Franklin, TN); Northeastern Oklahoma Community Health Centers, Inc (NPI 1821390402, Westville, OK); Guidewell Sanitas I, LLC (NPI 1831677889, Ocoee, FL); Heart Of Kansas Family Health Care, Inc. (NPI 1184739443, Great Bend, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1063577377) · Data from the CMS NPPES public registry.