DR. MERLIN JOICE ABRAHAM MD
NPI 1417215757
Family Medicine in Pflugerville, TX

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
15803 WINDERMERE DR, SUITE 103, PFLUGERVILLE, TX 78660(512) 989-2680 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Mar 23, 2021, Dec 16, 2015 (3 updates tracked since 2015).

About Dr. Merlin Joice Abraham Md NPPES

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

DR. MERLIN JOICE ABRAHAM MD (NPI 1417215757) is an individual family medicine provider in Pflugerville, Texas, licensed in Texas (Q2718) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417215757
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MERLIN JOICE ABRAHAMCredential: MD
Location Address15803 WINDERMERE DR, SUITE 103Pflugerville, TX 78660-2402
Mailing Address6210 E Highway 290 Ste 420Austin, TX 78723-1142 · (512) 483-9596
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 24, 2012
Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1417215757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · Q2718
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15803 WINDERMERE DR, Pflugerville, TX 78660

Other Names 1

Former Name (1)Dr. Merlin Joice Johney Mbchb

Other Identifiers 2

Other446946YKXVTX · Arc Travis Medicare
Other446946YKXYTX · Arc Rot Medicare

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

Dr. Merlin Joice Abraham Md 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 ID941510069
PECOS Enrollment IDI20151102001948
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 14

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 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.
180 services107 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
136 services96 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
121 services90 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
92 services72 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.
90 services78 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
68 services44 patients

Hospital Affiliations CMS Care Compare

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78660 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
15803 WINDERMERE DR, SUITE 103
PFLUGERVILLE, TX 78660
Occupational Therapist
15803 WINDERMERE DR, SUITE 205
PFLUGERVILLE, TX 78660
Dentist (General Practice)
15803 WINDERMERE DR, SUITE 400
PFLUGERVILLE, TX 78660
Dentist (General Practice)
15803 WINDERMERE DR, STE 400
PFLUGERVILLE, TX 78660
Dentist
15803 WINDERMERE DR, SUITE 400
PFLUGERVILLE, TX 78660
Durable Medical Equipment & Medical Supplies
15803 WINDERMERE DR, STE 102
PFLUGERVILLE, TX 78660
Physical Therapist
15803 WINDERMERE DR
PFLUGERVILLE, TX 78660
Family Medicine
15803 WINDERMERE DR, #103
PFLUGERVILLE, TX 78660

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 Merlin Abraham's NPI number?

The NPI number for Merlin Abraham is 1417215757. It was assigned to this individual provider in the NPPES registry on April 24, 2012. The provider is also known as Dr. Merlin Joice Johney Mbchb.

Where is Merlin Abraham located?

Merlin Abraham practices at 15803 Windermere Dr Suite 103, Pflugerville, TX 78660. The listed phone number is (512) 989-2680.

What is Merlin Abraham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Merlin Abraham enrolled in Medicare?

Yes. Merlin 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.

What insurance does Merlin Abraham accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Merlin Abraham 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 Merlin Abraham affiliated with any hospitals?

According to CMS data, Merlin Abraham is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Merlin Abraham was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.