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DR. MICHAEL JOHN ABBOUD M.D.
NPI 1568632263
Surgery in Reading, PA

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
2494 BERNVILLE RD, SUITE 200, READING, PA 19605(610) 378-7900(610) 378-1952 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael John Abboud M.d. NPPES

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

DR. MICHAEL JOHN ABBOUD M.D. (NPI 1568632263) is an individual surgery provider in Reading, Pennsylvania, licensed in Pennsylvania (MD438853) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568632263
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL JOHN ABBOUDCredential: M.D.
Location Address2494 BERNVILLE RD, SUITE 200Reading, PA 19605-9469
Mailing Address2500 Bernville RdReading, PA 19605-9453 · (610) 378-2000 · Fax (610) 378-2799
Phone(610) 378-7900
Fax(610) 378-1952
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 10, 2008
Last NPPES UpdateNovember 29, 2018
✔ NPI 1568632263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD438853✔ Licensed in NJ · 25MA08702900
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.
2494 BERNVILLE RD, Reading, PA 19605
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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. Michael John Abboud 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 ID3971796418
PECOS Enrollment IDI20121024000435
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 10

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.

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.
107 services90 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services43 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.
52 services24 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.
38 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19605 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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.53
Promoting Interoperability100
Improvement Activities40
Cost49.57

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.

KEYSTONE ONCOLOGY ASSOCIATES
Internal Medicine (Medical Oncology)
2494 BERNVILLE RD, SUITE G03
READING, PA 19605
Berks County (601) 378-2061
THE MILTON S. HERSHEY MEDICAL CENTER
Clinic/Center (Adolescent and Children Mental Health)
2494 BERNVILLE RD, SUITE 106
READING, PA 19605
Berks County (610) 898-1800
DR. CHARU SHARMA MD
Radiology (Radiation Oncology)
2494 BERNVILLE RD, STE G04
READING, PA 19605
Berks County (610) 378-2117
CAITLIN M LONG PA-C
Physician Assistant
2494 BERNVILLE RD
READING, PA 19605
Berks County (610) 378-2117
MRS. ANA MARIA LYNCH CRNP
Nurse Practitioner (Family)
2494 BERNVILLE RD
READING, PA 19605
Berks County (610) 780-7810
MRS. STACI H GROSS PA-C
Physician Assistant (Medical)
2494 BERNVILLE RD, SUITE 203
READING, PA 19605
Berks County (610) 378-2499
JASON REED PAINTER CRNP
Nurse Practitioner (Adult Health)
2494 BERNVILLE RD
READING, PA 19605
Berks County (610) 208-4646
BORNEMANN CARDIOTHORACIC ASSOCIATES
Physician Assistant (Surgical)
2494 BERNVILLE RD, SUITE 207
READING, PA 19605
Berks County (610) 378-2676

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 Michael Abboud's NPI number?

The NPI number for Michael Abboud is 1568632263. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Michael Abboud located?

Michael Abboud practices at 2494 Bernville Rd Suite 200, Reading, PA 19605. The listed phone number is (610) 378-7900.

What is Michael Abboud's specialty?

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

Is Michael Abboud enrolled in Medicare?

Yes. Michael Abboud 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.

Is Michael Abboud affiliated with any hospitals?

According to CMS data, Michael Abboud is affiliated with Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Michael Abboud was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.