KALEN JAMES ABBOTT
NPI 1174899314
Emergency Medicine in Aurora, CO
About Kalen James Abbott NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALEN JAMES ABBOTT (NPI 1174899314) is an individual emergency medicine provider in Aurora, Colorado, licensed in Colorado (DR.0054866) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of University Of Colorado School Of Medicine, Denver (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted 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
Kalen James Abbott 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.
Medicare Billing Reassignment
Medicare enrollment records show Kalen Abbott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44109
- Reassigned Medicare billing, Ohio enrollment
- 2,147 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Metrohealth System
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
AURORA, CO 80012
AURORA, CO 80012
AURORA, CO 80012
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 Kalen Abbott's NPI number?
The NPI number for Kalen Abbott is 1174899314. It was assigned to this individual provider in the NPPES registry on March 30, 2012. The provider is also known as Kalen James Abbott MD.
Where is Kalen Abbott located?
Kalen Abbott practices at 1501 S Potomac St, Aurora, CO 80012. The listed phone number is (303) 695-2628.
What is Kalen Abbott's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kalen Abbott enrolled in Medicare?
Yes. Kalen Abbott 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 Kalen Abbott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalen Abbott reassigns Medicare benefits to The Metrohealth System (Cleveland, OH). 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 Kalen Abbott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalen Abbott accept?
Health plans from CareSource and Oscar Health Insurance list Kalen Abbott 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 Kalen Abbott affiliated with any hospitals?
According to CMS data, Kalen Abbott is affiliated with Metrohealth System.
When was this NPI record last updated?
The NPPES record for Kalen Abbott was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kalen James Abbott · NPI 1174899314
Emergency Medicine physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since March 30, 2012.
## Identity
- **NPI:** 1174899314 (Entity type: Individual)
- **Enumerated:** March 30, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** DR.0054866 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 S POTOMAC ST, Aurora, CO 80012-5411
- **Phone:** (303) 695-2628 · **Fax:** (303) 306-7753
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Metrohealth System (NPI 1053353896, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2012
## Record status
- **NPPES last updated:** July 9, 2015
- **Other identifiers:** Medicare PIN 418361YL2G (CO); Medicaid 63658704 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1174899314) · Data from the CMS NPPES public registry.