BENJAMIN PAOLO M ABRATIGUE D.O.
NPI 1760745582
Family Medicine in Indianapolis, IN

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227(317) 887-7000 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2021, Oct 19, 2020, Jan 31, 2017 (3 updates tracked since 2017).

About Benjamin Paolo M Abratigue D.o. NPPES

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

BENJAMIN PAOLO M ABRATIGUE D.O. (NPI 1760745582) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (02004522A) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1760745582
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN PAOLO M ABRATIGUECredential: D.O.
Location Address1402 E COUNTY LINE RDIndianapolis, IN 46227
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 18, 2012
Last NPPES UpdateJune 4, 20213 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
NPI 1760745582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 02004522A Licensed in IN · 11016709A
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.
1402 E COUNTY LINE RD, Indianapolis, IN 46227

Other Identifiers 2

Medicaid201071000IN
OtherP01588206IN · Rr Medicare

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

Benjamin Paolo M Abratigue 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 ID9931348026
PECOS Enrollment IDI20150804005989
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
291 services108 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
82 services82 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier47 claims47 services$69.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.42 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$32.41 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.

Physician Assistant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Personal Emergency Response Attendant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Internal Medicine
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Internal Medicine (Pulmonary Disease)
1402 E COUNTY LINE RD, SUITE 2400
INDIANAPOLIS, IN 46227
Personal Emergency Response Attendant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Hospitalist
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Physician Assistant
1402 E COUNTY LINE RD
INDIANAPOLIS, IN 46227
Nurse Practitioner
1402 E COUNTY LINE RD, SUITE 2400
INDIANAPOLIS, IN 46227

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 Benjamin Paolo Abratigue's NPI number?

The NPI number for Benjamin Paolo Abratigue is 1760745582. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Benjamin Paolo Abratigue located?

Benjamin Paolo Abratigue practices at 1402 E County Line Rd, Indianapolis, IN 46227. The listed phone number is (317) 887-7000.

What is Benjamin Paolo Abratigue's specialty?

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

Is Benjamin Paolo Abratigue enrolled in Medicare?

Yes. Benjamin Paolo Abratigue 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 Benjamin Paolo Abratigue accept?

Health plans from CareSource list Benjamin Paolo Abratigue 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 Benjamin Paolo Abratigue affiliated with any hospitals?

According to CMS data, Benjamin Paolo Abratigue is affiliated with Community Hospital East and Community Hospital South, Inc..

When was this NPI record last updated?

The NPPES record for Benjamin Paolo Abratigue was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.