ABBY BELAY
NPI 1164103701
Nurse Practitioner - Family in Frederick, MD

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment
194 THOMAS JOHNSON DR, FREDERICK, MD 21702(240) 215-6310 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, Jul 27, 2023 (2 updates tracked since 2023).

About Abby Belay NPPES

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

ABBY BELAY (NPI 1164103701) is an individual family provider in Frederick, Maryland, licensed in Maryland (R207014) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164103701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABBY BELAY
Location Address194 THOMAS JOHNSON DRFrederick, MD 21702-4679
Mailing Address194 Thomas Johnson Dr Ste AFrederick, MD 21702-4683 · (240) 486-3489
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 27, 2023
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
NPI 1164103701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R207014
194 THOMAS JOHNSON DR, Frederick, MD 21702

Secondary Practice Locations 3

Location 175 Thomas Johnson DrFrederick, MD 21702-4895 · Phone (240) 215-6310
Location 215 E Frederick StWalkersville, MD 21793-8234 · Phone (240) 215-6310
Location 31 Frederick Health WayFrederick, MD 21701-9435 · Phone (240) 215-6310

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

Abby Belay 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 ID6800258575
PECOS Enrollment IDI20230811001055
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 6

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 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.
153 services138 patients
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.
114 services111 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services20 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
19 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

Clinic/Center (Rehabilitation)
194 THOMAS JOHNSON DR, SUITE B
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Internal Medicine (Gastroenterology)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Internal Medicine (Hematology)
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physician Assistant
194 THOMAS JOHNSON DR
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Family Medicine
194 THOMAS JOHNSON DR
FREDERICK, MD 21702

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 Abby Belay's NPI number?

The NPI number for Abby Belay is 1164103701. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Abby Belay located?

Abby Belay practices at 194 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (240) 215-6310.

What is Abby Belay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abby Belay enrolled in Medicare?

Yes. Abby Belay 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.

Is Abby Belay affiliated with any hospitals?

According to CMS data, Abby Belay is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Abby Belay was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.