JOHN C. ARRABAL M.D.
NPI 1295727063
General Practice in Chestertown, MD

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
20.43/100
CMS Quality Rating
6602 CHURCH HILL RD, SUITE 500, CHESTERTOWN, MD 21620(410) 778-6410(410) 778-2144 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John C. Arrabal M.d. NPPES

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

JOHN C. ARRABAL M.D. (NPI 1295727063) is an individual general practice provider in Chestertown, Maryland, licensed in Maryland (D0023889) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1295727063
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOHN C. ARRABALCredential: M.D.
Location Address6602 CHURCH HILL RD, SUITE 500Chestertown, MD 21620-2310
Mailing Address6602 Church Hill Rd, Suite 500Chestertown, MD 21620-2310 · (410) 778-6410 · Fax (410) 778-2144
Fax(410) 778-2144
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateAugust 18, 2005
Last NPPES UpdateMay 14, 2015
NPI 1295727063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MD · D0023889
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6602 CHURCH HILL RD, Chestertown, MD 21620

Other Identifiers 3

Medicare PIN789L
Medicaid171700600MD
Medicare UPIND44744MD

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 C. Arrabal 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 ID345375788
PECOS Enrollment IDI20100324000231
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 10

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
483 services84 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.
438 services215 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.
335 services183 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
267 services40 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
159 services32 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.
120 services120 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

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.

20.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost68.11

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims21 services$5.34 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
3 suppliers12 claims400 services$3.46 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 suppliers14 claims14 services$45.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$17.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$104.21 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers16 claims19 services$20.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
6602 CHURCH HILL RD, SUITE 500
CHESTERTOWN, MD 21620
Nurse Practitioner (Primary Care)
6602 CHURCH HILL RD, SUITE 200
CHESTERTOWN, MD 21620
Family Medicine
6602 CHURCH HILL RD, SUITE 200
CHESTERTOWN, MD 21620
Hospice Care, Community Based
6602 CHURCH HILL RD, SUITE 300
CHESTERTOWN, MD 21620
Hospice Care, Community Based
6602 CHURCH HILL RD, SUITE 300
CHESTERTOWN, MD 21620
Family Medicine
6602 CHURCH HILL RD, SUITE 200
CHESTERTOWN, MD 21620
Clinic/Center (Primary Care)
6602 CHURCH HILL RD, SUITE 250
CHESTERTOWN, MD 21620
Pediatrics
6602 CHURCH HILL RD, SUITE 400
CHESTERTOWN, MD 21620

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 Arrabal's NPI number?

The NPI number for John Arrabal is 1295727063. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is John Arrabal located?

John Arrabal practices at 6602 Church Hill Rd Suite 500, Chestertown, MD 21620. The listed phone number is (410) 778-6410.

What is John Arrabal's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Arrabal enrolled in Medicare?

Yes. John Arrabal 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 Arrabal accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list John Arrabal 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 Arrabal affiliated with any hospitals?

According to CMS data, John Arrabal is affiliated with University Of MD Shore Medical Ctr At Chestertown and University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for John Arrabal was last updated on May 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.