ABIGAIL MELISSA STOCKER M.D.
NPI 1093988669
Internal Medicine - Gastroenterology in Louisville, KY

Q: What is Abigail Stocker's NPI number?

The NPI number for Abigail Stocker is 1093988669. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Q: What is Abigail Stocker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Stocker was last updated on July 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2008PECOS EnrolledAccepts Medicare Assignment

73.19/100

CMS Quality Rating

401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202(502) 813-6500 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Abigail Melissa Stocker M.d. NPPES

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

ABIGAIL MELISSA STOCKER M.D. (NPI 1093988669) is an individual gastroenterology provider in Louisville, Kentucky, licensed in Kentucky (44654) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (2008).

NPPES Registry Identity

NPI1093988669

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameABIGAIL MELISSA STOCKERCredential: M.D.

Location Address401 E CHESTNUT ST, STE #310Louisville, KY 40202-5700

Mailing Address401 East Chestnut Street, Ste #310Louisville, KY 40202-5703 · (502) 812-6500

Phone(502) 813-6500

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2008

Enumeration DateApril 3, 2008

Last NPPES UpdateJuly 1, 2014

✔ NPI 1093988669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in KY · 44654

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

401 E CHESTNUT ST, Louisville, KY 40202

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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 Health 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

Abigail Melissa Stocker 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 ID1951527381

PECOS Enrollment IDI20140721002119

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 17

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 moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

101 services101 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

62 services60 patients

Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43236

This procedure involves a flexible tube, called an endoscope, which is passed through your mouth to examine your esophagus, stomach, and upper small bowel. A special needle is used to inject medication or other substances directly into these areas.

61 services47 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

54 services54 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.

42 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services31 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

31 services29 patients

Electronic analysis of implanted gastric neurostimulator generator with programming 95982

This procedure involves the use of a device to analyze and adjust the settings of an implanted gastric neurostimulator. This device, similar to a pacemaker, helps regulate digestive system functions. The process is non-invasive and painless.

30 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services29 patients

Recording and interpretation of stomach electrical activity 91132

Recording and interpretation of stomach electrical activity is a non-invasive procedure that helps in assessing the electrical signals from your stomach. It aids in understanding the stomach's functioning and diagnosing any potential issues. The process is safe, painless, and requires no special preparation.

28 services17 patients

Electronic analysis of implanted gastric neurostimulator generator during surgery with programming 95980

This procedure involves analyzing and programming an implanted gastric neurostimulator during surgery. The device uses electrical impulses to regulate stomach functions, aiding in the management of digestive disorders. It's a safe procedure performed by skilled surgeons.

18 services18 patients

Electronic analysis of implanted gastric neurostimulator generator 95981

This procedure involves the use of electronic devices to assess the functioning of a gastric neurostimulator, a device implanted in your body to help regulate stomach functions. It aids in diagnosing any issues and ensuring it's working optimally.

15 services13 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

13 services13 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

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

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180141

Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

73.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.74

Promoting Interoperability

100

Improvement Activities

Cost

51.91

Referred Medical Equipment & Supplies CMS DME claims 10

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

5 suppliers35 claims979 services$5.95 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

3 suppliers17 claims9,730 services$1.40 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims7,415 services$0.54 avg. paid by Medicare

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

3 suppliers205 claims3,680 services$11.13 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193

Other-Enteral and Parenteral · category OB005N

1 supplier73 claims472 services$222.25 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

3 suppliers132 claims917 services$280.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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. CHRISTOPHER R. SHAFER M.D.

Psychiatry & Neurology (Neurology)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 588-4800

KELLI M. BULLARD DUNN MD

Colon & Rectal Surgery

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

JASON WAYNE SMITH MD

Surgery (Surgical Critical Care)

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

SRI PRAKASH L MOKSHAGUNDAM MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

401 E CHESTNUT ST, STE #310
LOUISVILLE, KY 40202

Jefferson County (502) 588-4600

DR. VICTORIA SKELTON YUNKER MD.

Psychiatry & Neurology (Psychiatry)

401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 40202

Jefferson County (502) 588-4450

THERESA BRADSHAW BS

Occupational Therapist (Neurorehabilitation)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 589-0802

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Surgery (Trauma Surgery)

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Psychiatry & Neurology (Neurology)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 589-0802

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 Stocker's NPI number?

The NPI number for Abigail Stocker is 1093988669. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Where is Abigail Stocker located?

Abigail Stocker practices at 401 E Chestnut St Ste #310, Louisville, KY 40202. The listed phone number is (502) 813-6500.

What is Abigail Stocker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abigail Stocker enrolled in Medicare?

Yes. Abigail Stocker 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 Stocker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Abigail Stocker 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 Stocker affiliated with any hospitals?

According to CMS data, Abigail Stocker is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Abigail Stocker was last updated on July 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.