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DR. PHILIP ABRAHAM M.D.
NPI 1497750764
Internal Medicine in Kittery, ME

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
42 STATE RD UNIT 103, KITTERY, ME 03904(207) 651-7432(888) 519-0831 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Jul 23, 2021 (2 updates tracked since 2021).

About Dr. Philip Abraham M.d. NPPES

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

DR. PHILIP ABRAHAM M.D. (NPI 1497750764) is an individual internal medicine provider in Kittery, Maine, licensed in Maine (MD16477) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1497750764
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PHILIP ABRAHAMCredential: M.D.
Location Address42 STATE RD UNIT 103Kittery, ME 03904-1810
Mailing Address42 State Rd Unit 103Kittery, ME 03904-1810 · (207) 651-7432 · Fax (888) 519-0831
Phone(207) 651-7432
Fax(888) 519-0831
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJune 14, 2005
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1497750764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ME · MD16477✔ Licensed in ME · 016477
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.
42 STATE RD UNIT 103, Kittery, ME 03904
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Other Identifiers 1

Medicaid223240000ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Philip Abraham 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 ID1355234006
PECOS Enrollment IDI20040312000784
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 5

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.
221 services67 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.
126 services52 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
44 services18 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.
28 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03904 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%475 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
0%418 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers13 claims35 services$1.33 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 2

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

PHILIP ABRAHAM MD LLC
Internal Medicine
42 STATE RD UNIT 103
KITTERY, ME 03904
York County (207) 651-7432
BENE ESSE, INC.
Clinic/Center
42 STATE RD UNIT 103
KITTERY, ME 03904
York County (207) 651-7432

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 Philip Abraham's NPI number?

The NPI number for Philip Abraham is 1497750764. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Philip Abraham located?

Philip Abraham practices at 42 State Rd Unit 103, Kittery, ME 03904. The listed phone number is (207) 651-7432.

What is Philip Abraham's specialty?

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

Is Philip Abraham enrolled in Medicare?

Yes. Philip 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 Philip Abraham accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Philip 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 Philip Abraham affiliated with any hospitals?

According to CMS data, Philip Abraham is affiliated with Maine Medical Center, York Hospital, Wentworth-Douglass Hospital, Exeter Hospital Inc and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Philip Abraham was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.