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DANA C ABRAHAM M.D.
NPI 1164468567
Surgery in Little Rock, AR

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
88.03/100
CMS Quality Rating
500 S UNIVERSITY AVE, SUITE 816, LITTLE ROCK, AR 72205(501) 492-2600(501) 492-2601 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dana C Abraham M.d. NPPES

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

DANA C ABRAHAM M.D. (NPI 1164468567) is an individual surgery provider in Little Rock, Arkansas, licensed in Arkansas (C7650) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1164468567
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDANA C ABRAHAMCredential: M.D.
Location Address500 S UNIVERSITY AVE, SUITE 816Little Rock, AR 72205-5302
Mailing Address500 S University Ave, Suite 816Little Rock, AR 72205-5302 · (501) 492-2600 · Fax (501) 492-2601
Phone(501) 492-2600
Fax(501) 492-2601
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJune 22, 2006
Last NPPES UpdateMay 7, 2019
✔ NPI 1164468567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AR · C7650
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
500 S UNIVERSITY AVE, Little Rock, AR 72205
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Other Identifiers 3

Medicaid130763001AR
OtherA5801088AR · Aetna Insurance
Other1474900000AR · Qualchoice Of Arkansas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Dana C Abraham 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 ID9638101181
PECOS Enrollment IDI20071101000732
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 9

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.
162 services136 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.
96 services96 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
72 services72 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
54 services54 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
52 services50 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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.

88.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.67
Improvement Activities40
Cost91.22

Reported Quality Measures

Breast Cancer Screening
97%448 patients5/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
66%134 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
7%573 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
55%33 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,197 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%964 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%1,134 patients2/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 350 patients
Patients totalRate: 0% · 351 patients
0%351 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
12 suppliers58 claims129 services$30.58 avg. paid by Medicare
Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
6 suppliers13 claims21 services$172.02 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
7 suppliers15 claims22 services$262.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 ANIKA T WHITFIELD LLC
Podiatrist (Foot Surgery)
500 S UNIVERSITY AVE, SUITE 707
LITTLE ROCK, AR 72205
Pulaski County (501) 614-7800
DR. DONNA MELISSA GRAHAM M.D.
Allergy & Immunology
500 S UNIVERSITY AVE, SUITE 215
LITTLE ROCK, AR 72205
Pulaski County (501) 420-1085
PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD
Family Medicine
500 S UNIVERSITY AVE, SUITE 515
LITTLE ROCK, AR 72205
Pulaski County (501) 666-6100
FRANCES L MCCULLOUGH RNP
Registered Nurse
500 S UNIVERSITY AVE, SUITE 815
LITTLE ROCK, AR 72205
Pulaski County (501) 663-8900
KASHAF AFZAL RASHEED MD
Internal Medicine (Nephrology)
500 S UNIVERSITY AVE, SUITE 508
LITTLE ROCK, AR 72205
Pulaski County (501) 588-1100
GARRY JONES M.D.
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC
Clinic/Center (Radiology, Mammography)
500 S UNIVERSITY AVE, SUITE 114
LITTLE ROCK, AR 72205
Pulaski County (501) 661-9766
JODI M BARBOZA MD
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 664-3914

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 Dana Abraham's NPI number?

The NPI number for Dana Abraham is 1164468567. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Dana Abraham located?

Dana Abraham practices at 500 S University Ave Suite 816, Little Rock, AR 72205. The listed phone number is (501) 492-2600.

What is Dana Abraham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dana Abraham enrolled in Medicare?

Yes. Dana 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 Dana Abraham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Dana 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.

When was this NPI record last updated?

The NPPES record for Dana Abraham was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.