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MUHAMMAD A ABBAS M.D.
NPI 1396955951
Psychiatry & Neurology - Psychiatry in Neptune, NJ

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
19 DAVIS AVE FL 9, NEPTUNE, NJ 07753(732) 775-5500 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2025, Mar 17, 2017 (2 updates tracked since 2017).

About Muhammad A Abbas M.d. NPPES

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

MUHAMMAD A ABBAS M.D. (NPI 1396955951) is an individual psychiatry provider in Neptune, New Jersey, licensed in New Jersey (25MA09092000) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396955951
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMUHAMMAD A ABBASCredential: M.D.
Location Address19 DAVIS AVE FL 9Neptune, NJ 07753-4488
Mailing Address462 Barclay StPerth Amboy, NJ 08861-3128 · (732) 324-5339
Phone(732) 775-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1396955951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA09092000
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 25MA09092000 (NJ)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 25MA09092000 (NJ)
19 DAVIS AVE FL 9, Neptune, NJ 07753
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1462 Barclay StPerth Amboy, NJ 08861-3128 · Phone (732) 324-5339
Location 2530 New Brunswick AvePerth Amboy, NJ 08861-3654 · Phone (732) 442-3700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Muhammad A Abbas 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 ID1153513015
PECOS Enrollment IDI20120727000602
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Muhammad Abbas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
9.2 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
9.2 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Jersey Shore Psychiatric Services LLC
29 mi
Clinic/Center
432 AVENEL ST
Avenel, NJ 07001
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1417499260 (732) 426-7030
Wayne Behavioral Service, LLC
52 mi
Psychiatry
401 HAMBURG TPKE, STE. 302
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
NPI 1487677795 (973) 790-9222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
217 services90 patients
Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
173 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

Other Providers at the Same Location NPPES 5

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

MOHAMMED FAIZUR RAHMAN MD
Psychiatry & Neurology (Addiction Medicine)
19 DAVIS AVE FL 9
NEPTUNE, NJ 07753
Monmouth County (732) 897-3640
DR. ADAM SAGOT D.O.
Psychiatry & Neurology (Psychiatry)
19 DAVIS AVE FL 9
NEPTUNE, NJ 07753
Monmouth County (732) 897-3640
DR. ERIN MCLEAN PH.D.
Clinical Neuropsychologist
19 DAVIS AVE FL 9
NEPTUNE, NJ 07753
Monmouth County (732) 897-3640
BRUCE PATSNER M.D.
Psychiatry & Neurology (Addiction Psychiatry)
19 DAVIS AVE FL 9
NEPTUNE, NJ 07753
Monmouth County (732) 897-3640
DR. ANDREW XAVIER PARADA MD
Psychiatry & Neurology (Psychiatry)
19 DAVIS AVE FL 9
NEPTUNE, NJ 07753
Monmouth County (732) 897-3640

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 Muhammad Abbas's NPI number?

The NPI number for Muhammad Abbas is 1396955951. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Muhammad Abbas located?

Muhammad Abbas practices at 19 Davis Ave Fl 9, Neptune, NJ 07753. The listed phone number is (732) 775-5500.

What is Muhammad Abbas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Muhammad Abbas enrolled in Medicare?

Yes. Muhammad Abbas 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.

Which organizations bill Medicare for Muhammad Abbas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Abbas reassigns Medicare benefits to 4 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Jersey Shore Psychiatric Services LLC (Avenel, NJ) and Wayne Behavioral Service, LLC (Wayne, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Muhammad Abbas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Abbas accept?

Health plans from Oscar Health list Muhammad Abbas 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 Muhammad Abbas affiliated with any hospitals?

According to CMS data, Muhammad Abbas is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Muhammad Abbas was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.