DR. MICHAEL DAVID ABENDROTH MD
NPI 1750743498
Ophthalmology in Philadelphia, PA

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
97.68/100
CMS Quality Rating
1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 19145(800) 448-6767(215) 339-8103 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2020, Dec 31, 2019, Aug 30, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Michael David Abendroth Md NPPES

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

DR. MICHAEL DAVID ABENDROTH MD (NPI 1750743498) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD469809) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750743498
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL DAVID ABENDROTHCredential: MD
Location Address1930 S BROAD ST UNIT 9Philadelphia, PA 19145-2328
Mailing Address1930 S Broad St Unit 9Philadelphia, PA 19145-2328 · (215) 423-5154 · Fax (215) 339-8103
Fax(215) 339-8103
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateSeptember 20, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
NPI 1750743498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD469809
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1930 S BROAD ST UNIT 9, Philadelphia, PA 19145

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. Michael David Abendroth Md 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 ID5698058105
PECOS Enrollment IDI20200602002538
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 22

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.

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.
541 services478 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.
514 services492 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.
359 services279 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.
155 services155 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
128 services96 patients
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.
108 services75 patients

Hospital Affiliations CMS Care Compare

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

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19145 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

97.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.36
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Ambulatory Surgical)
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145
Ophthalmology
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145
Optometrist
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145
Ophthalmology
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145
Ophthalmology
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145
Optometrist
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145
Optometrist
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145
Ophthalmology
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145

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 Michael Abendroth's NPI number?

The NPI number for Michael Abendroth is 1750743498. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Michael Abendroth located?

Michael Abendroth practices at 1930 S Broad St Unit 9, Philadelphia, PA 19145. The listed phone number is (800) 448-6767.

What is Michael Abendroth's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Abendroth enrolled in Medicare?

Yes. Michael Abendroth 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 Michael Abendroth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Michael Abendroth 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 Michael Abendroth affiliated with any hospitals?

According to CMS data, Michael Abendroth is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Michael Abendroth was last updated on September 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.