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DR. DAVID POTHEN ABRAHAM DO
NPI 1215565692
Internal Medicine in Mount Vernon, WA

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
1801 E DIVISION ST, MOUNT VERNON, WA 98274(360) 424-4410(360) 424-0749 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Jul 13, 2023, Aug 9, 2021 and 1 more (4 updates tracked since 2020).

About Dr. David Pothen Abraham Do NPPES

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

DR. DAVID POTHEN ABRAHAM DO (NPI 1215565692) is an individual internal medicine provider in Mount Vernon, Washington, licensed in Washington (OP61416743) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215565692
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID POTHEN ABRAHAMCredential: DO
Location Address1801 E DIVISION STMount Vernon, WA 98274-4632
Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127
Phone(360) 424-4410
Fax(360) 424-0749
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1215565692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · OP61416743
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1801 E DIVISION ST, Mount Vernon, WA 98274
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. David Pothen Abraham 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 ID3678935509
PECOS Enrollment IDI20230809002774
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 11

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.
326 services228 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.
130 services113 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.
98 services92 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.
41 services41 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services19 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 4

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

MADELINE C. BUTTON PA
Physician Assistant (Medical)
1801 E DIVISION ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
WILLIAM BRENTON ARNP
Nurse Practitioner (Family)
1801 E DIVISION ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4410
NORTHWEST ASTHMA & ALLERGY CENTER
Allergy & Immunology
1801 E DIVISION ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4410
MS. ALEXA NICOLE REYES CELERIAN DO
Internal Medicine
1801 E DIVISION ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4410

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 David Abraham's NPI number?

The NPI number for David Abraham is 1215565692. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is David Abraham located?

David Abraham practices at 1801 E Division St, Mount Vernon, WA 98274. The listed phone number is (360) 424-4410.

What is David Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Abraham enrolled in Medicare?

Yes. David Abraham 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 David Abraham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list David Abraham 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 David Abraham affiliated with any hospitals?

According to CMS data, David Abraham is affiliated with Skagit Valley Hospital, Island Hospital, St Joseph Hospital and Cascade Valley Hospital.

When was this NPI record last updated?

The NPPES record for David Abraham was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.