Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLORIA CRESENCIA B. ABACAN
NPI 1316040298
Internal Medicine in Prosser, WA

Q: What is Gloria Abacan's NPI number?

The NPI number for Gloria Abacan is 1316040298. It was assigned to this individual provider in the NPPES registry on September 6, 2006. The provider is also known as Dr. Gloria C. Baldemor Abacan MD.

Q: What is Gloria Abacan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gloria Abacan was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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 September 06, 2006PECOS EnrolledAccepts Medicare Assignment

88.39/100

CMS Quality Rating

820 MEMORIAL ST STE 1, PROSSER, WA 99350(509) 786-2010(509) 788-1794 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2026, Mar 6, 2025, Mar 2, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Gloria Cresencia B. Abacan NPPES

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

GLORIA CRESENCIA B. ABACAN (NPI 1316040298) is an individual internal medicine provider in Prosser, Washington, licensed in Washington (MD.MD.00039221) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Astria Sunnyside Hospital, and maintains a secondary practice location in Grandview.

NPPES Registry Identity

NPI1316040298

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameGLORIA CRESENCIA B. ABACAN

Location Address820 MEMORIAL ST STE 1Prosser, WA 99350-2504

Mailing AddressPo Box 719Sunnyside, WA 98944-0719 · (509) 837-1364

Phone(509) 786-2010

Fax(509) 788-1794

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1316040298 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 · MD.MD.00039221

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.

820 MEMORIAL ST STE 1, Prosser, WA 99350

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Other Names 1

Other Name (5)Dr. Gloria C. Baldemor Abacan Md

Secondary Practice Location 1

Location 1208 N Euclid RdGrandview, WA 98930-9470 · Phone (509) 882-1855

Other Identifiers 7

Other911019392Commercial

Other156636WA · L & I

Other22855Group Health

Other8265142WA · Chpw

Other2035ABWA · Regence

Other1306897681Npi Prosser Memorial

Medicaid8265142WA

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

Gloria Cresencia B. Abacan 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 ID244492429

PECOS Enrollment IDI20120504000234

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.

Hospital Affiliations CMS Care Compare

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

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number501330

Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99350 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.

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.

88.39/100

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

Scored as part of a group practice

Quality

89.25

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 12

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

9 suppliers73 claims142 services$5.40 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers33 claims39 services$1.03 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

2 suppliers13 claims260 services$4.45 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers13 claims260 services$2.61 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$3.26 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims6,306 services$0.32 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.

EDWARD LANE

Family Medicine