DR. ABHIJEET BABANRAO KADAM M.D.
NPI 1174999296
Orthopaedic Surgery in Newton, KS

Active since August 12, 2015PECOS EnrolledAccepts Medicare Assignment
70.03/100
CMS Quality Rating
800 MEDICAL CENTER DR, NEWTON, KS 67114(316) 283-9977(316) 283-0966 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2019, Jan 29, 2019 (2 updates tracked since 2019).

About Dr. Abhijeet Babanrao Kadam M.d. NPPES

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

DR. ABHIJEET BABANRAO KADAM M.D. (NPI 1174999296) is an individual orthopaedic surgery provider in Newton, Kansas, licensed in Kansas (04-42398) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Nmc Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1174999296
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ABHIJEET BABANRAO KADAMCredential: M.D.
Location Address800 MEDICAL CENTER DRNewton, KS 67114
Mailing Address800 Medical Center DrNewton, KS 67114-7808 · (316) 283-9977 · Fax (316) 283-0966
Fax(316) 283-0966
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 12, 2015
Last NPPES UpdateSeptember 23, 20192 updates tracked since enumeration
NPI 1174999296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in KS · 04-42398 Licensed in PA · MD454616
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
800 MEDICAL CENTER DR, Newton, KS 67114

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. Abhijeet Babanrao Kadam 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 ID244527059
PECOS Enrollment IDI20190905002907
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 13

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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
245 services198 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
232 services29 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.
217 services145 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.
80 services80 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.
74 services67 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
40 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Nmc Health

Acute Care Hospitals · Newton, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170103
Location600 Medical Center DriveNewton, KS 67114 · Harvey County
Emergency services

Mcpherson Hospital

Acute Care Hospitals · Mcpherson, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number170105
Location1000 Hospital DriveMcpherson, KS 67460 · Mcpherson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67114 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

70.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.51
Promoting Interoperability98
Improvement Activities40
Cost45.26

Other Providers at the Same Location NPPES 14

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

Otolaryngology
800 MEDICAL CENTER DR, SUITE 230
NEWTON, KS 67114
Family Medicine (Sports Medicine)
800 MEDICAL CENTER DR
NEWTON, KS 67114
Physical Therapist
800 MEDICAL CENTER DR
NEWTON, KS 67114
Specialist/Technologist (Athletic Trainer)
800 MEDICAL CENTER DR, SUITE 220
NEWTON, KS 67114
Orthopaedic Surgery
800 MEDICAL CENTER DR
NEWTON, KS 67114
Otolaryngology (Sleep Medicine)
800 MEDICAL CENTER DR, SUITE 230
NEWTON, KS 67114
Orthopaedic Surgery
800 MEDICAL CENTER DR, STE 240
NEWTON, KS 67114
Nurse Practitioner (Family)
800 MEDICAL CENTER DR
NEWTON, KS 67114

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 Abhijeet Kadam's NPI number?

The NPI number for Abhijeet Kadam is 1174999296. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Abhijeet Kadam located?

Abhijeet Kadam practices at 800 Medical Center Dr, Newton, KS 67114. The listed phone number is (316) 283-9977.

What is Abhijeet Kadam's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Abhijeet Kadam enrolled in Medicare?

Yes. Abhijeet Kadam 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 Abhijeet Kadam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Abhijeet Kadam 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 Abhijeet Kadam affiliated with any hospitals?

According to CMS data, Abhijeet Kadam is affiliated with Nmc Health and Mcpherson Hospital.

When was this NPI record last updated?

The NPPES record for Abhijeet Kadam was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.