DR. BRANDON HAROLD ABBOTT D.O., M.P.H.
NPI 1528350139
Hospitalist in Phoenix, AZ

Q: What is Brandon Abbott's NPI number?

The NPI number for Brandon Abbott is 1528350139. It was assigned to this individual provider in the NPPES registry on May 15, 2011.

Q: What is Brandon Abbott's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Abbott was last updated on March 5, 2024. 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.

Active since May 15, 2011PECOS Enrolled

77.01/100

CMS Quality Rating

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0777(602) 933-0755 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2024, Sep 2, 2022, Mar 18, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Dr. Brandon Harold Abbott D.o., M.p.h. NPPES

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

DR. BRANDON HAROLD ABBOTT D.O., M.P.H. (NPI 1528350139) is an individual hospitalist provider in Phoenix, Arizona, licensed in Arizona (006559) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1528350139

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. BRANDON HAROLD ABBOTTCredential: D.O., M.P.H.

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124 · Fax (928) 774-4808

Phone(602) 933-0777

Fax(602) 933-0755

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 15, 2011

Last NPPES UpdateMarch 5, 20244 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1528350139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 006559

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 006559 (AZ)

Also ListedPediatricsTaxonomy 208000000X · License 006559 (AZ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1300 Linwood AveBuffalo, NY 14209-1802 · Phone (716) 961-9412 · Fax (716) 961-9403

Location 22920 N 4th StFlagstaff, AZ 86004-1816 · Phone (928) 522-9400

Location 31200 N Beaver StFlagstaff, AZ 86001-3118 · Phone (928) 773-2451 · Fax (928) 214-2925

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon Harold Abbott D.o., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315268091

PECOS Enrollment IDI20150605002388

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

Medicare enrollment records show Brandon Abbott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital

Same address

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

Northern Arizona Healthcare Corporation

121 mi

Family Medicine

1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001

Reassigned Medicare billing, Arizona enrollment
552 clinicians in this Medicare group

NPI 1669914552 (928) 773-2546

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 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.

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.

164 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

163 services78 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

60 services60 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

44 services44 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

77.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

59.66

Promoting Interoperability

100

Improvement Activities

Cost

63.71

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers34 claims37 services$17.68 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$28.38 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers34 claims37 services$84.91 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 20

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

DR. TIMUR RAGHIB M.D.

Hospitalist