ED A. ABELL M. D.
NPI 1184733370
Plastic Surgery in Gainesville, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
1296 SIMS ST STE B, GAINESVILLE, GA 30501(770) 534-1856 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2020, Jul 21, 2020 (2 updates tracked since 2020).

About Ed A. Abell M. D. NPPES

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

ED A. ABELL M. D. (NPI 1184733370) is an individual plastic surgery provider in Gainesville, Georgia, licensed in Georgia (054533) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1997).

NPPES Registry Identity

NPI1184733370
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameED A. ABELLCredential: M. D.
Location Address1296 SIMS ST STE BGainesville, GA 30501-3850
Mailing Address1296 Sims St Ste BGainesville, GA 30501-3873 · (770) 534-1856
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1997
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1184733370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in GA · 054533
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1296 SIMS ST STE B, Gainesville, GA 30501

Other Identifiers 1

Medicaid550344631AGA

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

Ed A. Abell 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 ID4688645831
PECOS Enrollment IDI20040803000328
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 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.
42 services33 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 7

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

Plastic Surgery
1296 SIMS ST STE B
GAINESVILLE, GA 30501
Physician Assistant
1296 SIMS ST STE B
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
1296 SIMS ST STE B
GAINESVILLE, GA 30501
Orthopaedic Surgery
1296 SIMS ST STE B
GAINESVILLE, GA 30501
Physician Assistant
1296 SIMS ST STE B
GAINESVILLE, GA 30501
Surgery (Plastic and Reconstructive Surgery)
1296 SIMS ST STE B
GAINESVILLE, GA 30501
Plastic Surgery
1296 SIMS ST STE B
GAINESVILLE, GA 30501

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 Ed Abell's NPI number?

The NPI number for Ed Abell is 1184733370. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Ed Abell located?

Ed Abell practices at 1296 Sims St Ste B, Gainesville, GA 30501. The listed phone number is (770) 534-1856.

What is Ed Abell's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Ed Abell enrolled in Medicare?

Yes. Ed Abell 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 Ed Abell accept?

Health plans from Alliant Health Plans, Inc. list Ed Abell 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 Ed Abell affiliated with any hospitals?

According to CMS data, Ed Abell is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Ed Abell was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.