DR. AJAY L. ABICHANDANI M.D.
NPI 1548523236
Internal Medicine - Cardiovascular Disease in Fort Myers, FL

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
13340 METRO PKWY STE 200, FORT MYERS, FL 33966(239) 343-0550(239) 343-4013 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2024, Jul 10, 2024, Jul 26, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Ajay L. Abichandani M.d. NPPES

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

DR. AJAY L. ABICHANDANI M.D. (NPI 1548523236) is an individual cardiovascular disease provider in Fort Myers, Florida, licensed in Florida (ME166828) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1548523236
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. AJAY L. ABICHANDANICredential: M.D.
Location Address13340 METRO PKWY STE 200Fort Myers, FL 33966-4818
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-0550 · Fax (239) 343-4013
Fax(239) 343-4013
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateSeptember 25, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1548523236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in FL · ME166828 Licensed in PA · MT202525 Licensed in PA · MD455978
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT202525 (PA)
13340 METRO PKWY STE 200, Fort Myers, FL 33966

Other Identifiers 1

Medicaid122211900FL

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. Ajay L. Abichandani 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 ID6204186026
PECOS Enrollment IDI20240514000064
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 31

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
894 services583 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
269 services269 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.
204 services189 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.
176 services103 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.
146 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
132 services124 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Primary Care)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966
Internal Medicine (Cardiovascular Disease)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966
Nurse Practitioner (Gerontology)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966
Nurse Practitioner (Gerontology)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966
Internal Medicine (Interventional Cardiology)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966
Nurse Practitioner (Family)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966
Internal Medicine (Interventional Cardiology)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966
Nurse Practitioner (Acute Care)
13340 METRO PKWY STE 200
FORT MYERS, FL 33966

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 Ajay Abichandani's NPI number?

The NPI number for Ajay Abichandani is 1548523236. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Ajay Abichandani located?

Ajay Abichandani practices at 13340 Metro Pkwy Ste 200, Fort Myers, FL 33966. The listed phone number is (239) 343-0550.

What is Ajay Abichandani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ajay Abichandani enrolled in Medicare?

Yes. Ajay Abichandani 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 Ajay Abichandani accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Ajay Abichandani 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 Ajay Abichandani affiliated with any hospitals?

According to CMS data, Ajay Abichandani is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Abichandani was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.