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MARIBEL ABARRO
NPI 1639825490
Nurse Practitioner - Family in Austin, TX

Active since March 01, 2022PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
507 CALLES ST, AUSTIN, TX 78702(855) 481-8375 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Aug 15, 2023, Sep 13, 2022 and 3 more (6 updates tracked since 2022).

About Maribel Abarro NPPES

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

MARIBEL ABARRO (NPI 1639825490) is an individual family provider in Austin, Texas, licensed in Texas (1054442) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639825490
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIBEL ABARRO
Location Address507 CALLES STAustin, TX 78702-3954
Mailing Address11300 N Lamar BlvdAustin, TX 78753-2665 · (866) 389-2727
Phone(855) 481-8375
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 1, 2022
Last NPPES UpdateNovember 26, 20246 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1639825490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1054442
507 CALLES ST, Austin, TX 78702
Open in Google Maps ↗

Secondary Practice Location 1

Location 111300 N. Lamar BlvdAustin, TX 78753-2665 · Phone (855) 481-8375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and more.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

Maribel Abarro 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 ID2769877323
PECOS Enrollment IDI20221215002225
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

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 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78702 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
65%98 patients3/55-star benchmark: 93%
Cervical Cancer Screening
72%188 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
45%40 patients
Closing the Referral Loop: Receipt of Specialist Report
30%157 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
55%167 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
67%145 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
13%69 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%69 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%557 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
14%92 patients1/55-star benchmark: 100%
HIV Screening
26%343 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
51%381 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
81%290 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%338 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 338 patients
Patients screened: 99% · 338 patients
74%46 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%92 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 92 patients
Patients totalRate: 8% · 95 patients
8%95 patients4/55-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.

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 Maribel Abarro's NPI number?

The NPI number for Maribel Abarro is 1639825490. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Maribel Abarro located?

Maribel Abarro practices at 507 Calles St, Austin, TX 78702. The listed phone number is (855) 481-8375.

What is Maribel Abarro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maribel Abarro enrolled in Medicare?

Yes. Maribel Abarro 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 Maribel Abarro accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Maribel Abarro 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 Maribel Abarro was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.