JOHN KEITH ABBOTT III M.D.
NPI 1255540936
Surgery in Rowlett, TX

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
7501 LAKEVIEW PKWY, SUITE 270, ROWLETT, TX 75088(972) 412-7700(972) 412-7710 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Keith Abbott Iii M.d. NPPES

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

JOHN KEITH ABBOTT III M.D. (NPI 1255540936) is an individual surgery provider in Rowlett, Texas, licensed in Texas (M9766) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of University Of Oklahoma College Of Medicine (2006).

NPPES Registry Identity

NPI1255540936
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN KEITH ABBOTT IIICredential: M.D.
Location Address7501 LAKEVIEW PKWY, SUITE 270Rowlett, TX 75088-9322
Mailing Address7501 Lakeview Pkwy, Suite 270Rowlett, TX 75088-9322 · (972) 412-7700 · Fax (972) 412-7710
Fax(972) 412-7710
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2006
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 17, 2011
NPI 1255540936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · M9766
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7501 LAKEVIEW PKWY, Rowlett, TX 75088

Other Identifiers 3

Medicare PIN8L14228TX
Medicare PIN8L14290TX
Medicare PIN8L14220TX

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

John Keith Abbott Iii 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 ID6305995473
PECOS Enrollment IDI20190517000473
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.

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.
126 services126 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 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.
46 services46 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services21 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75088 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
54%144 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
1%218 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%82 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%218 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Orthopaedic Surgery (Sports Medicine)
7501 LAKEVIEW PKWY, SUITE 245
ROWLETT, TX 75088
Radiology (Radiation Oncology)
7501 LAKEVIEW PKWY
ROWLETT, TX 75088
Internal Medicine
7501 LAKEVIEW PKWY, SUITE 220
ROWLETT, TX 75088
Pathology (Anatomic Pathology & Clinical Pathology)
7501 LAKEVIEW PKWY, STE 160
ROWLETT, TX 75088
Psychiatry & Neurology (Neurology)
7501 LAKEVIEW PKWY, SUITE 245
ROWLETT, TX 75088
Podiatrist (Foot & Ankle Surgery)
7501 LAKEVIEW PKWY, SUITE 135
ROWLETT, TX 75088
Physical Medicine & Rehabilitation
7501 LAKEVIEW PKWY, SUITE 245
ROWLETT, TX 75088
Pathology (Anatomic Pathology & Clinical Pathology)
7501 LAKEVIEW PKWY, STE 160
ROWLETT, TX 75088

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 Abbott's NPI number?

The NPI number for John Abbott is 1255540936. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is John Abbott located?

John Abbott practices at 7501 Lakeview Pkwy Suite 270, Rowlett, TX 75088. The listed phone number is (972) 412-7700.

What is John Abbott's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Abbott enrolled in Medicare?

Yes. John Abbott 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 John Abbott accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list John Abbott 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 John Abbott affiliated with any hospitals?

According to CMS data, John Abbott is affiliated with Mercy Hospital Oklahoma City, Inc and Oklahoma Heart Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for John Abbott was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.