DR. ABRAHAM K POULOSE MD
NPI 1497753560
Ophthalmology - Retina Specialist in Leawood, KS

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
90.61/100
CMS Quality Rating
11261 NALL AVE, LEAWOOD, KS 66211(913) 261-2020(913) 261-2090 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2025, Jul 8, 2019, Apr 18, 2018 (3 updates tracked since 2018).

About Dr. Abraham K Poulose Md NPPES

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

DR. ABRAHAM K POULOSE MD (NPI 1497753560) is an individual retina specialist in Leawood, Kansas, licensed in Missouri (100803) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1497753560
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. ABRAHAM K POULOSECredential: MD
Location Address11261 NALL AVELeawood, KS 66211-1675
Mailing Address11261 Nall AveLeawood, KS 66211-1675 · (913) 261-2020 · Fax (913) 261-2090
Fax(913) 261-2090
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 12, 2005
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
NPI 1497753560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses Licensed in MO · 100803 Licensed in KS · 04-25731
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

11261 NALL AVE, Leawood, KS 66211

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. Abraham K Poulose 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 ID8729053251
PECOS Enrollment IDI20051206000785
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 26

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,762 services24 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,562 services170 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,538 services940 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,449 services356 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.
727 services518 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
726 services712 patients

Hospital Affiliations CMS Care Compare 2

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

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66211 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

90.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.3
Promoting Interoperability85
Improvement Activities40
Cost86.91

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers12 claims12 services$53.88 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 10

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

Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Optometrist
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211

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 Abraham Poulose's NPI number?

The NPI number for Abraham Poulose is 1497753560. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Abraham Poulose located?

Abraham Poulose practices at 11261 Nall Ave, Leawood, KS 66211. The listed phone number is (913) 261-2020.

What is Abraham Poulose's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Abraham Poulose enrolled in Medicare?

Yes. Abraham Poulose 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 Abraham Poulose accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Abraham Poulose 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 Abraham Poulose affiliated with any hospitals?

According to CMS data, Abraham Poulose is affiliated with Truman Medical Center Hospital Hill and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Abraham Poulose was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.