DR. ODAY ABDALLAH D.O.
NPI 1578993754
Family Medicine in Lakeland, FL

Active since November 25, 2013PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7000(866) 264-8519 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2020, Mar 17, 2018, Sep 15, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Oday Abdallah D.o. NPPES

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

DR. ODAY ABDALLAH D.O. (NPI 1578993754) is an individual family medicine provider in Lakeland, Florida, licensed in Florida (OS14131) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1578993754
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ODAY ABDALLAHCredential: D.O.
Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805-3019
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3065 · (863) 680-7000 · Fax (866) 264-8519
Fax(866) 264-8519
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 25, 2013
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
NPI 1578993754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS14131
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 LAKELAND HILLS BLVD, Lakeland, FL 33805

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. Oday Abdallah D.o. 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 ID2466718218
PECOS Enrollment IDI20171110000209
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.
497 services158 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
113 services113 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
71 services71 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
53 services50 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
48 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.87
Promoting Interoperability100
Improvement Activities40
Cost59.5

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers31 claims70 services$6.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$20.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers37 claims37 services$184.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Anesthesiology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Family Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 Oday Abdallah's NPI number?

The NPI number for Oday Abdallah is 1578993754. It was assigned to this individual provider in the NPPES registry on November 25, 2013.

Where is Oday Abdallah located?

Oday Abdallah practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7000.

What is Oday Abdallah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Oday Abdallah enrolled in Medicare?

Yes. Oday Abdallah 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 Oday Abdallah accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Oday Abdallah 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 Oday Abdallah was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.