DR. ABEL ALFONSO DO
NPI 1174617740
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mankato, MN

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
1230 E MAIN ST, MANKATO, MN 56001(507) 625-1811 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2022, Jul 22, 2020, Mar 26, 2018 (3 updates tracked since 2018).

About Dr. Abel Alfonso Do NPPES

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

DR. ABEL ALFONSO DO (NPI 1174617740) is an individual endocrinology, diabetes & metabolism provider in Mankato, Minnesota, licensed in Minnesota (58717) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1174617740
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ABEL ALFONSOCredential: DO
Location Address1230 E MAIN STMankato, MN 56001-8001
Mailing Address1230 E Main StMankato, MN 56001-8001 · (507) 625-1811
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2001
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 14, 20223 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
NPI 1174617740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in MN · 58717 Licensed in FL · OS8831 Licensed in MI · 5101027097 Licensed in CO · DR.0053160 Licensed in VA · 0102202339
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1230 E MAIN ST, Mankato, MN 56001

Secondary Practice Location 1

Location 17901 S 12th St Ste 200Portage, MI 49024-3831 · Phone (269) 341-8585

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

Dr. Abel Alfonso Do 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 ID3476747957
PECOS Enrollment IDI20130906000331
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 7

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.
113 services78 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
109 services59 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.
77 services61 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 services24 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.
20 services20 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Ogallala Community Hospital

Critical Access Hospitals · Ogallala, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281355
Location2601 North Spruce StOgallala, NE 69153 · Keith County
Emergency services Birthing friendly

Perkins County Health Services

Critical Access Hospitals · Grant, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281356
Location900 Lincoln AvenueGrant, NE 69140 · Perkins County
Emergency services

Community Hospital

Critical Access Hospitals · Mccook, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number281363
LocationP O Box 1328, 1301 East H StMccook, NE 69001 · Red Willow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers49 claims215 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims25 services$1.00 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers320 claims324 services$189.10 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.

Surgery
1230 E MAIN ST
MANKATO, MN 56001
Internal Medicine (Hematology & Oncology)
1230 E MAIN ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1230 E MAIN ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1230 E MAIN ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1230 E MAIN ST
MANKATO, MN 56001
Internal Medicine (Hematology & Oncology)
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56001
Physical Therapist
1230 E MAIN ST
MANKATO, MN 56001
Physician Assistant
1230 E MAIN ST
MANKATO, MN 56001

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 Abel Alfonso's NPI number?

The NPI number for Abel Alfonso is 1174617740. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Abel Alfonso located?

Abel Alfonso practices at 1230 E Main St, Mankato, MN 56001. The listed phone number is (507) 625-1811.

What is Abel Alfonso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Abel Alfonso enrolled in Medicare?

Yes. Abel Alfonso 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 Abel Alfonso accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company, Priority Health and UnitedHealthcare list Abel Alfonso 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 Abel Alfonso affiliated with any hospitals?

According to CMS data, Abel Alfonso is affiliated with The Nebraska Medical Center, Great Plains Health, Ogallala Community Hospital, Perkins County Health Services and Community Hospital.

When was this NPI record last updated?

The NPPES record for Abel Alfonso was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.