KEVIN ABRAHAM M.D.
NPI 1689037673
Family Medicine in Worcester, MA

Q: What is Kevin Abraham's NPI number?

The NPI number for Kevin Abraham is 1689037673. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Q: What is Kevin Abraham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Abraham was last updated on March 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment

26 QUEEN ST, WORCESTER, MA 01610(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2023, Nov 12, 2019, Mar 29, 2016 (3 updates tracked since 2016).

On this page

About Kevin Abraham M.d. NPPES

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

KEVIN ABRAHAM M.D. (NPI 1689037673) is an individual family medicine provider in Worcester, Massachusetts, licensed in Texas (R9902) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Massachusetts Medical School (2016).

NPPES Registry Identity

NPI1689037673

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN ABRAHAMCredential: M.D.

Location Address26 QUEEN STWorcester, MA 01610-2473

Mailing Address119 Belmont StWorcester, MA 01605-2903 · (508) 334-1000

Phone(508) 334-1000

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2016

Enumeration DateMarch 29, 2016

Last NPPES UpdateMarch 16, 20233 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1689037673 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 TX · R9902

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

26 QUEEN ST, Worcester, MA 01610

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Kevin Abraham 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 ID6305139635

PECOS Enrollment IDI20191015000053

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.

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.

109 services73 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

101 services80 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.

42 services42 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.

24 services18 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.

18 services18 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01610 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

MATTHEW A SILVA PHARM.D.

Pharmacist

26 QUEEN ST, FAMILY HEALTH CENTER PHARMACY
WORCESTER, MA 01610

Worcester County (508) 860-7790

DR. LINDA WEINREB M.D.

Family Medicine

26 QUEEN ST
WORCESTER, MA 01610

Worcester County (508) 860-7700

MS. SUANNE PETROFF NP

Nurse Practitioner (Family)

26 QUEEN ST, FAMILY CENTER OF WORCESTER
WORCESTER, MA 01610

Worcester County (508) 860-7700

JENNIFER J AVERILL MOFFITT CNM

Midwife

26 QUEEN ST, FAMILY HEALTH CENTER OF WORCESTER, INC.
WORCESTER, MA 01610

Worcester County (508) 860-7700

BONNIE-JEAN MACKINNON WOMENS HEALTH

Registered Nurse (Perinatal)

26 QUEEN ST, MEDICAL
WORCESTER, MA 01610

Worcester County (508) 860-7700

MARK D SHELTON LICSW

Social Worker

26 QUEEN ST, SOCIAL SERVICES
WORCESTER, MA 01610

Worcester County (508) 860-7700

JUDITH A GALLANT-ROOT FAMILY MEDICINE

Nurse Practitioner (Family)

26 QUEEN ST, MEDICAL
WORCESTER, MA 01610

Worcester County (508) 860-7700

MARTHA M SULLIVAN GENERAL DENTISTRY

Dentist

26 QUEEN ST, DENTAL
WORCESTER, MA 01610

Worcester County (508) 860-7700

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 Kevin Abraham's NPI number?

The NPI number for Kevin Abraham is 1689037673. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Kevin Abraham located?

Kevin Abraham practices at 26 Queen St, Worcester, MA 01610. The listed phone number is (508) 334-1000.

What is Kevin Abraham's specialty?

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

Is Kevin Abraham enrolled in Medicare?

Yes. Kevin Abraham 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 Kevin Abraham accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Kevin Abraham 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 Kevin Abraham affiliated with any hospitals?

According to CMS data, Kevin Abraham is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Abraham was last updated on March 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.