DR. ALVIN ABAQUETA M.D.
NPI 1235102187
Family Medicine in Charlotte, NC

Q: What is Alvin Abaqueta's NPI number?

The NPI number for Alvin Abaqueta is 1235102187. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Alvin Abaqueta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alvin Abaqueta was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment

64.12/100

CMS Quality Rating

8401 MEDICAL PLAZA DR, STE 365, CHARLOTTE, NC 28262(704) 944-0975(704) 943-3699 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alvin Abaqueta M.d. NPPES

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

DR. ALVIN ABAQUETA M.D. (NPI 1235102187) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (98-00751) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1235102187

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALVIN ABAQUETACredential: M.D.

Location Address8401 MEDICAL PLAZA DR, STE 365Charlotte, NC 28262-8797

Mailing Address8401 Medical Plaza Dr, Ste 365Charlotte, NC 28262-8797 · (704) 944-0975 · Fax (704) 943-3699

Phone(704) 944-0975

Fax(704) 943-3699

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateFebruary 10, 2006

Last NPPES UpdateAugust 22, 2022

NPPES CertifiedAugust 22, 2022

✔ NPI 1235102187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 98-00751

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8401 MEDICAL PLAZA DR, Charlotte, NC 28262

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Secondary Practice Location 1

Location 17845 Little AveCharlotte, NC 28226-8198 · Phone (704) 375-0100 · Fax (704) 887-6450

Other Identifiers 2

MedicaidN00751SC

Medicaid8911654NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Alvin Abaqueta 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 ID8628105277

PECOS Enrollment IDI20100429001195

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.

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.

291 services35 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

276 services144 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.

240 services142 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.

222 services120 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

122 services85 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

86 services85 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

84 services84 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.

79 services41 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

65 services35 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

65 services43 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

65 services65 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

57 services57 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

64.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

36.66

Improvement Activities

Cost

31.52

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

1 supplier42 claims42 services$4.62 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers60 claims60 services$44.61 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier16 claims16 services$31.72 avg. paid by Medicare

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910

DME-Other DME · category DE000N

1 supplier11 claims11 services$7.87 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier12 claims12 services$10.57 avg. paid by Medicare

Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each E1226

DME-Wheelchairs · category DD021N

1 supplier21 claims21 services$33.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

NOVANT MEDICAL GROUP, INC.

Psychiatry & Neurology (Sleep Medicine)

8401 MEDICAL PLAZA DR, SUITE 200
CHARLOTTE, NC 28262

Mecklenburg County (704) 384-1685

NOVANT HEALTH MEDICAL GROUP, LLC

Internal Medicine

8401 MEDICAL PLAZA DR, SUITE 250
CHARLOTTE, NC 28262

Mecklenburg County (704) 384-1500

DR. ROBIN LEE FILIPPI MD

Internal Medicine

8401 MEDICAL PLAZA DR, SUITE 250
CHARLOTTE, NC 28262

Mecklenburg County (704) 384-1500

MRS. SHEENA BEACH MSW, LCSWA

Social Worker

8401 MEDICAL PLAZA DR, SUITE 360
CHARLOTTE, NC 28262

Mecklenburg County (702) 208-4458

MRS. LYDIA HALSEY MOORE MSW, LCSW

Social Worker (Clinical)

8401 MEDICAL PLAZA DR, SUITE 350
CHARLOTTE, NC 28262

Mecklenburg County (704) 547-0020

MARA E KEITH AGNP

Nurse Practitioner (Family)

8401 MEDICAL PLAZA DR, STE 365
CHARLOTTE, NC 28262

Mecklenburg County (704) 944-0975

THERESA TURNER FRAUNE PA-C

Physician Assistant

8401 MEDICAL PLAZA DR, SUITE 220
CHARLOTTE, NC 28262

Mecklenburg County (704) 384-1570

NOVANT MEDICAL GROUP, INC.

Internal Medicine (Cardiovascular Disease)

8401 MEDICAL PLAZA DR, SUITE 250
CHARLOTTE, NC 28262

Mecklenburg County (704) 316-1670

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 Alvin Abaqueta's NPI number?

The NPI number for Alvin Abaqueta is 1235102187. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Alvin Abaqueta located?

Alvin Abaqueta practices at 8401 Medical Plaza Dr Ste 365, Charlotte, NC 28262. The listed phone number is (704) 944-0975.

What is Alvin Abaqueta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alvin Abaqueta enrolled in Medicare?

Yes. Alvin Abaqueta 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 Alvin Abaqueta accept?

Health plans from Blue Cross and Blue Shield of NC list Alvin Abaqueta 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.

When was this NPI record last updated?

The NPPES record for Alvin Abaqueta was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.