JOHN H ABRAMS MD
NPI 1174589584
Ophthalmology in Carmel, IN

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1320 CITY CENTER DR STE 150, CARMEL, IN 46032(317) 846-4223(317) 846-6063 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2024, Oct 11, 2018 (2 updates tracked since 2018).

About John H Abrams Md NPPES

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

JOHN H ABRAMS MD (NPI 1174589584) is an individual ophthalmology provider in Carmel, Indiana, licensed in Indiana (01034454A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1984).

NPPES Registry Identity

NPI1174589584
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN H ABRAMSCredential: MD
Location Address1320 CITY CENTER DR STE 150Carmel, IN 46032-3104
Mailing Address1320 City Center Dr Ste 150Carmel, IN 46032-3104 · (317) 846-4223 · Fax (317) 846-6063
Fax(317) 846-6063
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1984
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
NPI 1174589584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01034454A
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1320 CITY CENTER DR STE 150, Carmel, IN 46032

Other Identifiers 1

Medicaid100354030ID

Accepted 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

John H Abrams 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 ID5496706418
PECOS Enrollment IDI20110330000023
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 14

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,179 services1,171 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.
518 services413 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
245 services164 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
230 services141 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
206 services126 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
188 services173 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers30 claims30 services$41.44 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims20 services$32.32 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers24 claims37 services$37.96 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1320 CITY CENTER DR STE 150
CARMEL, IN 46032
Optometrist
1320 CITY CENTER DR STE 150
CARMEL, IN 46032
Eyewear Supplier
1320 CITY CENTER DR STE 150
CARMEL, IN 46032
Optometrist
1320 CITY CENTER DR STE 150
CARMEL, IN 46032
Optometrist
1320 CITY CENTER DR STE 150
CARMEL, IN 46032
Ophthalmology
1320 CITY CENTER DR STE 150
CARMEL, IN 46032
Ophthalmology
1320 CITY CENTER DR STE 150
CARMEL, IN 46032
Ophthalmology
1320 CITY CENTER DR STE 150
CARMEL, IN 46032

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 John Abrams's NPI number?

The NPI number for John Abrams is 1174589584. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is John Abrams located?

John Abrams practices at 1320 City Center Dr Ste 150, Carmel, IN 46032. The listed phone number is (317) 846-4223.

What is John Abrams's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Abrams enrolled in Medicare?

Yes. John Abrams 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 John Abrams accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list John Abrams 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 John Abrams was last updated on December 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.