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WILLIAM T. ABRAHAM MD
NPI 1093755944
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Columbus, OH

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
452 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7677(614) 293-5614 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Jan 30, 2026, Dec 22, 2025 and 6 more (9 updates tracked since 2018).

About William T. Abraham Md NPPES

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

WILLIAM T. ABRAHAM MD (NPI 1093755944) is an individual advanced heart failure and transplant cardiology provider in Columbus, Ohio, licensed in Ohio (35.073657) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Harvard Medical School (1986).

NPPES Registry Identity

NPI1093755944
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameWILLIAM T. ABRAHAMCredential: MD
Location Address452 W 10TH AVEColumbus, OH 43210-1240
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7677 · Fax (614) 293-5614
Phone(614) 293-7677
Fax(614) 293-5614
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1986
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 16, 20269 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1093755944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
Licenses✔ Licensed in OH · 35.073657✔ Licensed in KY · 33895
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35.073657 (OH)
452 W 10TH AVE, Columbus, OH 43210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.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

William T. Abraham 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 ID1456345024
PECOS Enrollment IDI20040414001434, I20040525001457
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services65 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

DR. KONSTANTINOS D BOUDOULAS M.D.
Internal Medicine (Interventional Cardiology)
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7677
DR. MAZIAR KHORSANDI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-5502
JEFFREY T. THORNE APRN-CNP
Nurse Practitioner (Family)
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7677
AUDREY J BAKANAUSKAS APRN-CNP
Nurse Practitioner
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7677
HEIDI L VICKERS APRN-CNP
Nurse Practitioner (Adult Health)
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-5502
DR. MARGUERITTE S. HEVEZI RPH, CDE
Pharmacist
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7677
KINETA J BAYNE APRN-CNP
Nurse Practitioner
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7677
JENNIFER S DETTRA RPH
Pharmacist
452 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7677

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 William Abraham's NPI number?

The NPI number for William Abraham is 1093755944. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is William Abraham located?

William Abraham practices at 452 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-7677.

What is William Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is William Abraham enrolled in Medicare?

Yes. William Abraham 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 William Abraham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 2 other insurers list William Abraham 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 William Abraham affiliated with any hospitals?

According to CMS data, William Abraham is affiliated with St Elizabeth Edgewood and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for William Abraham was last updated on April 16, 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.