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PAUL A ABBEY MD
NPI 1124029699
Orthopaedic Surgery - Hand Surgery in Hermitage, TN

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
5653 FRIST BLVD STE 731, HERMITAGE, TN 37076(615) 885-2778(615) 986-6052 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Oct 22, 2018, Oct 31, 2017 (3 updates tracked since 2017).

About Paul A Abbey Md NPPES

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

PAUL A ABBEY MD (NPI 1124029699) is an individual hand surgery provider in Hermitage, Tennessee, licensed in Tennessee (21535) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1124029699
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NamePAUL A ABBEYCredential: MD
Location Address5653 FRIST BLVD STE 731Hermitage, TN 37076-2066
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018 · Fax (615) 986-6052
Phone(615) 885-2778
Fax(615) 986-6052
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1124029699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in TN · 21535
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
5653 FRIST BLVD STE 731, Hermitage, TN 37076
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11430 W Baddour Pkwy Ste ALebanon, TN 37087 · Phone (615) 730-8262
Location 2300 Stonecrest Blvd Ste 220Smyrna, TN 37167 · Phone (615) 730-8626
Location 3482 Interstate Dr Ste KManchester, TN 37355 · Phone (615) 730-8626

Other Identifiers 2

Medicaid3062926TN
Other4209236TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Paul A Abbey 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 ID3577459882
PECOS Enrollment IDI20040224000937
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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Abbey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Orthopaedics & Sports Medicine Plc
11 mi
Orthopaedic Surgery
2400 PATTERSON ST STE 300
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 71 clinicians in this Medicare group
NPI 1972577351 (615) 342-6300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
26 services21 patients
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.
24 services24 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.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37076 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Paul Abbey's NPI number?

The NPI number for Paul Abbey is 1124029699. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Paul Abbey located?

Paul Abbey practices at 5653 Frist Blvd Ste 731, Hermitage, TN 37076. The listed phone number is (615) 885-2778.

What is Paul Abbey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Paul Abbey enrolled in Medicare?

Yes. Paul Abbey 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 organization bills Medicare for Paul Abbey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Abbey reassigns Medicare benefits to Premier Orthopaedics & Sports Medicine Plc (Nashville, TN). The 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 Paul Abbey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Abbey accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Paul Abbey 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 Paul Abbey was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.