DR. JOHN VERGHESE ABRAHAM M.D.
NPI 1225394786
Emergency Medicine in Germantown, MD

Active since April 09, 2012PECOS Enrolled
76.26/100
CMS Quality Rating
20010 CENTURY BLVD, SUITE 200, GERMANTOWN, MD 20874(954) 303-1104 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 29, 2021, Feb 2, 2021, Aug 4, 2020 and 1 more (4 updates tracked since 2015).

About Dr. John Verghese Abraham M.d. NPPES

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

DR. JOHN VERGHESE ABRAHAM M.D. (NPI 1225394786) is an individual emergency medicine provider in Germantown, Maryland, licensed in New York (295851) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225394786
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN VERGHESE ABRAHAMCredential: M.D.
Location Address20010 CENTURY BLVD, SUITE 200Germantown, MD 20874-1115
Mailing Address811 4th St Nw, Unit 403Washington, DC 20001-4902 · (954) 303-1104
Sole ProprietorNo
Enumeration DateApril 9, 2012
Last NPPES UpdateDecember 29, 20214 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1225394786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 295851✔ Licensed in DC · MD043300
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
20010 CENTURY BLVD, Germantown, MD 20874

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Verghese Abraham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show John Abraham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
11915 GEORGIA AVE
Wheaton, MD 20902
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 309 clinicians in this Medicare group
Emergency Medicine
1301 EDWARDS FERRY RD NE
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia, District of Columbia and Maryland enrollments
  • Also billed through NPI 1811852148 (District of Columbia), NPI 1134117393 (Maryland)
  • 1,294 clinicians in this Medicare group
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20874 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.91
Promoting Interoperability100
Improvement Activities40
Cost48.97

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.

Emergency Medicine
20010 CENTURY BLVD, SUITE 200
GERMANTOWN, MD 20874
Pediatrics
20010 CENTURY BLVD, SUITE 200
GERMANTOWN, MD 20874
Emergency Medicine
20010 CENTURY BLVD, STE 200
GERMANTOWN, MD 20874
Emergency Medicine
20010 CENTURY BLVD, SUITE 200
GERMANTOWN, MD 20874
Pediatrics
20010 CENTURY BLVD, SUITE 200
GERMANTOWN, MD 20874
Emergency Medicine
20010 CENTURY BLVD, SUITE 200
GERMANTOWN, MD 20874
Emergency Medicine
20010 CENTURY BLVD, SUITE 200
GERMANTOWN, MD 20874
Emergency Medicine (Emergency Medical Services)
20010 CENTURY BLVD
GERMANTOWN, MD 20874

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 John Abraham's NPI number?

The NPI number for John Abraham is 1225394786. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is John Abraham located?

John Abraham practices at 20010 Century Blvd Suite 200, Germantown, MD 20874. The listed phone number is (954) 303-1104.

What is John Abraham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Abraham enrolled in Medicare?

Yes. John Abraham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Abraham reassigns Medicare benefits to 4 organizations: Medstar Urgent Care, LLC (Wheaton, MD), Emergency Medicine Associates P.A., P.C. (Leesburg, VA), Children's Hospital (Washington, DC) and New York University (Boynton Beach, FL). Each 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 John Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Abraham was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.