GREGORY M ABBAS M.D.
NPI 1710983267
Otolaryngology in Louisville, KY

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
89.33/100
CMS Quality Rating
3515 POPLAR LEVEL RD, LOUISVILLE, KY 40213(502) 459-3760(502) 459-3717 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory M Abbas M.d. NPPES

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

GREGORY M ABBAS M.D. (NPI 1710983267) is an individual otolaryngology provider in Louisville, Kentucky, licensed in Kentucky (31995) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710983267
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameGREGORY M ABBASCredential: M.D.
Location Address3515 POPLAR LEVEL RDLouisville, KY 40213-1009
Mailing Address2944 Breckenridge LnLouisville, KY 40220-1409 · (502) 893-0159 · Fax (502) 213-3853
Fax(502) 459-3717
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1995
Enumeration DateJune 21, 2005
Last NPPES UpdateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
NPI 1710983267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in KY · 31995
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSpecialistTaxonomy 174400000X · License 319958 (KY)
3515 POPLAR LEVEL RD, Louisville, KY 40213

Secondary Practice Locations 2

Location 11725 Gagel AveLouisville, KY 40216-2763 · Phone (502) 893-0159
Location 22944 Breckenridge LnLouisville, KY 40220-1409 · Phone (502) 893-0159 · Fax (502) 213-3853

Other Identifiers 3

Other000000223729KY · Bcbs
Other61-0719349KY · Tax Id
Medicaid64017916KY

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

Gregory M Abbas 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 ID7315080942
PECOS Enrollment IDI20100302000595, I20100313000033
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 14

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
3,991 services184 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
712 services124 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
237 services33 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.
167 services144 patients
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.
151 services120 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
134 services134 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40213 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

89.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.45
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
94%266 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
83%268 patients4/55-star benchmark: 100%
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis
91%33 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,537 patients5/55-star benchmark: 100%
Optimal Asthma Control
Composite measure of the percentage of pediatric and adult patients whose asthma is well-controlled as demonstrated by one of three age appropriate patient reported outcome tools and not at risk for exacerbation
Patients ACT5-17: 26% · 43 patients
17%52 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 83% · 787 patients
Patients tobacco: 75% · 787 patients
8%61 patients1/55-star benchmark: 98%
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 4

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

Nurse Practitioner (Family)
3515 POPLAR LEVEL RD
LOUISVILLE, KY 40213
Otolaryngology
3515 POPLAR LEVEL RD
LOUISVILLE, KY 40213
Audiologist
3515 POPLAR LEVEL RD
LOUISVILLE, KY 40213
Nurse Practitioner
3515 POPLAR LEVEL RD
LOUISVILLE, KY 40213

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 Gregory Abbas's NPI number?

The NPI number for Gregory Abbas is 1710983267. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Gregory Abbas located?

Gregory Abbas practices at 3515 Poplar Level Rd, Louisville, KY 40213. The listed phone number is (502) 459-3760.

What is Gregory Abbas's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Gregory Abbas enrolled in Medicare?

Yes. Gregory Abbas 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 Gregory Abbas accept?

Health plans from CareSource list Gregory Abbas 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 Gregory Abbas affiliated with any hospitals?

According to CMS data, Gregory Abbas is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Gregory Abbas was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.