ABIGAIL CATHERINE COOTS M.D.
NPI 1548414345
Surgery in West Reading, PA

Q: What is Abigail Coots's NPI number?

The NPI number for Abigail Coots is 1548414345. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Q: What is Abigail Coots's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Coots was last updated on March 31, 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.

Active since November 06, 2008PECOS EnrolledAccepts Medicare Assignment

86.13/100

CMS Quality Rating

420 S 5TH AVE, WEST READING, PA 19611(484) 628-4879 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2021, Oct 16, 2020, Oct 5, 2020 (3 updates tracked since 2020).

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About Abigail Catherine Coots M.d. NPPES

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

ABIGAIL CATHERINE COOTS M.D. (NPI 1548414345) is an individual surgery provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD471845) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1548414345

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameABIGAIL CATHERINE COOTSCredential: M.D.

Location Address420 S 5TH AVEWest Reading, PA 19611-2143

Mailing Address420 S 5th AveWest Reading, PA 19611-2143

Phone(484) 628-4879

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2008

Enumeration DateNovember 6, 2008

Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1548414345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD471845

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

420 S 5TH AVE, West Reading, PA 19611

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Secondary Practice Location 1

Location 134800 Bob Wilson Dr, NMCSDSan Diego, CA 92134-1098 · Phone (619) 532-8038

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Abigail Catherine Coots 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 ID9638597032

PECOS Enrollment IDI20200917000413

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

68 services41 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.

60 services60 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.

36 services32 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

21 services11 patients

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.

20 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390096

Location2500 Bernville RoadReading, PA 19605 · Berks County

Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

86.13/100

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

Scored as part of a group practice

Quality

81.91

Promoting Interoperability

Improvement Activities

Cost

62.83

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.

TOLUWANIMI OGBONMIDE

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

URVASHI SARKAR

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

MADISON HECK

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

NEIL HOFFMAN M.D.

Pathology (Forensic Pathology)

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8615

MS. LANE ROSCOE PA- C

Physician Assistant

420 S 5TH AVE
WEST READING, PA 19611

Berks County (610) 568-3637

ALICE LEE DO

Surgery

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-4879

KYLE ROMPALA

Nurse Practitioner (Family)

420 S 5TH AVE
READING, PA 19611

Berks County (267) 280-7615

MATTHEW CRYER

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-1324

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 Abigail Coots's NPI number?

The NPI number for Abigail Coots is 1548414345. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Where is Abigail Coots located?

Abigail Coots practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-4879.

What is Abigail Coots's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Abigail Coots enrolled in Medicare?

Yes. Abigail Coots 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 Abigail Coots accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Abigail Coots 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 Abigail Coots affiliated with any hospitals?

According to CMS data, Abigail Coots is affiliated with Reading Hospital, Penn State Health St. Joseph and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Abigail Coots was last updated on March 31, 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.