FRANCES ABRAHAM
NPI 1376005694
Nurse Practitioner - Adult Health in Pittsburgh, PA

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
5115 CENTRE AVE, 4TH FLOOR, PITTSBURGH, PA 15232(412) 647-2811 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 24, 2021, Apr 4, 2019 (2 updates tracked since 2019).

About Frances Abraham NPPES

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

FRANCES ABRAHAM (NPI 1376005694) is an individual adult health provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP019657) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376005694
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameFRANCES ABRAHAM
Location Address5115 CENTRE AVE, 4TH FLOORPittsburgh, PA 15232-1301
Mailing Address505 Highland Pines Ct, 4th FloorPittsburgh, PA 15237-2018
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2019
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPI 1376005694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · SP019657
5115 CENTRE AVE, Pittsburgh, PA 15232

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

Frances Abraham 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 ID1951644335
PECOS Enrollment IDI20190529000419
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 4

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.

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.
156 services103 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.
83 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
33 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Psychologist
5115 CENTRE AVE, SUITE 140
PITTSBURGH, PA 15232
Internal Medicine (Hematology & Oncology)
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Internal Medicine (Hematology & Oncology)
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Psychologist
5115 CENTRE AVE, SUITE 140
PITTSBURGH, PA 15232
Nurse Practitioner
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Internal Medicine (Hematology & Oncology)
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Physician Assistant
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232

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 Frances Abraham's NPI number?

The NPI number for Frances Abraham is 1376005694. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Frances Abraham located?

Frances Abraham practices at 5115 Centre Ave 4th Floor, Pittsburgh, PA 15232. The listed phone number is (412) 647-2811.

What is Frances Abraham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Frances Abraham enrolled in Medicare?

Yes. Frances Abraham 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.

Is Frances Abraham affiliated with any hospitals?

According to CMS data, Frances Abraham is affiliated with Penn Highlands Dubois, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Frances Abraham was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.