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AMY M ABBOTT O.D.
NPI 1578663365
Optometrist in South Portland, ME

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
91.67/100
CMS Quality Rating
510 MAINEMALL RD., SOUTH PORTLAND, ME 04106(207) 775-2030(207) 775-0755 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy M Abbott O.d. NPPES

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

AMY M ABBOTT O.D. (NPI 1578663365) is an individual optometrist in South Portland, Maine, licensed in Maine (OPT864) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2001).

NPPES Registry Identity

NPI1578663365
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAMY M ABBOTTCredential: O.D.
Location Address510 MAINEMALL RD.South Portland, ME 04106
Mailing Address272 Cottage StSanford, ME 04073-1815 · (207) 324-8888 · Fax (207) 490-1716
Phone(207) 775-2030
Fax(207) 775-0755
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2001
Enumeration DateSeptember 22, 2006
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1578663365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · OPT864
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
510 MAINEMALL RD., South Portland, ME 04106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Providence Health Plan.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

Amy M Abbott O.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 ID5294766093
PECOS Enrollment IDI20060317000352
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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,891 services27 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
333 services333 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
176 services135 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
129 services121 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
101 services81 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
79 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

91.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.35
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
85%216 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
98%285 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,786 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
93%101 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%1,120 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

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

ROGER R GAGNON O.D.
Optometrist
510 MAINEMALL RD.
SOUTH PORTLAND, ME 04106
Cumberland County (207) 775-2030

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 Amy Abbott's NPI number?

The NPI number for Amy Abbott is 1578663365. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Amy Abbott located?

Amy Abbott practices at 510 Mainemall Rd., South Portland, ME 04106. The listed phone number is (207) 775-2030.

What is Amy Abbott's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Amy Abbott enrolled in Medicare?

Yes. Amy Abbott 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 Amy Abbott accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Providence Health Plan list Amy Abbott 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.

When was this NPI record last updated?

The NPPES record for Amy Abbott was last updated on December 3, 2020. 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.