DR. BENSON MATHEW ABRAHAM MD
NPI 1538655733
Internal Medicine in Lowell, MA

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment
87.32/100
CMS Quality Rating
295 VARNUM AVE, LOWELL, MA 01854(978) 937-6000 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2026, Jul 21, 2026, Mar 22, 2026 and 1 more (4 updates tracked since 2018).

About Dr. Benson Mathew Abraham Md NPPES

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

DR. BENSON MATHEW ABRAHAM MD (NPI 1538655733) is an individual internal medicine provider in Lowell, Massachusetts, licensed in Missouri (2026031050) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and maintains a secondary practice location in West Plains.

NPPES Registry Identity

NPI1538655733
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BENSON MATHEW ABRAHAMCredential: MD
Location Address295 VARNUM AVELowell, MA 01854-2193
Mailing Address290 Littleton Rd Unit 3Chelmsford, MA 01824-3429 · (978) 655-3303 · Fax (855) 731-6076
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 10, 2018
Last NPPES UpdateAugust 10, 20264 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1538655733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MO · 2026031050✔ Licensed in MA · 275730
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.
295 VARNUM AVE, Lowell, MA 01854

Secondary Practice Location 1

Location 11100 N Kentucky AveWest Plains, MO 65775-2029 · Phone (417) 256-9111

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

Dr. Benson Mathew 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 ID2668723719
PECOS Enrollment IDI20210714001250
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

2

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

Internal Medicine
295 VARNUM AVE
Lowell, MA 01854
  • Reassigned Medicare billing, Massachusetts enrollment
  • 109 clinicians in this Medicare group
Rural Health
9104 STATE HIGHWAY 19
Winona, MO 65588
  • Reassigned Medicare billing, Missouri enrollment
  • 338 clinicians in this Medicare group

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.

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.
467 services437 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services45 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01854 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

87.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80
Improvement Activities40
Cost61.09

Reported Quality Measures

Advance Care Plan
100%910 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,682 patients5/55-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.

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.

Emergency Medicine
295 VARNUM AVE
LOWELL, MA 01854
Nurse Practitioner (Pediatrics)
295 VARNUM AVE
LOWELL, MA 01854
Nurse Practitioner
295 VARNUM AVE
LOWELL, MA 01854
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Anesthesiology
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC
LOWELL, MA 01854
Hospitalist
295 VARNUM AVE
LOWELL, MA 01854
Physician Assistant (Medical)
295 VARNUM AVE
LOWELL, MA 01854

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 Benson Mathew Abraham's NPI number?

The NPI number for Benson Mathew Abraham is 1538655733. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Benson Mathew Abraham located?

Benson Mathew Abraham practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6000.

What is Benson Mathew Abraham's specialty?

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

Is Benson Mathew Abraham enrolled in Medicare?

Yes. Benson Mathew 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.

Which organizations bill Medicare for Benson Mathew Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benson Mathew Abraham reassigns Medicare benefits to 2 organizations: Lowell General Inpatient Specialists PLLC (Lowell, MA) and Ozarks Medical Center (Winona, MO). 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 Benson Mathew Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Benson Mathew Abraham affiliated with any hospitals?

According to CMS data, Benson Mathew Abraham is affiliated with Lowell General Hospital and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Benson Mathew Abraham was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.