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DR. SEMHAL ABBAY MD
NPI 1780713172
Psychiatry & Neurology - Psychiatry in Green Bay, WI

Active since March 03, 2007PECOS EnrolledAccepts Medicare Assignment
93.44/100
CMS Quality Rating
2640 WEST POINT RD, GREEN BAY, WI 54304(920) 490-3790(920) 490-3845 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, May 21, 2025, Apr 7, 2025 (3 updates tracked since 2025).

About Dr. Semhal Abbay Md NPPES

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

DR. SEMHAL ABBAY MD (NPI 1780713172) is an individual psychiatry provider in Green Bay, Wisconsin, licensed in Wisconsin (2950-320) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newton, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1780713172
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SEMHAL ABBAYCredential: MD
Location Address2640 WEST POINT RDGreen Bay, WI 54304-1344
Mailing AddressPo Box 365Oneida, WI 54155-0365 · (920) 490-3790 · Fax (920) 490-3845
Phone(920) 490-3790
Fax(920) 490-3845
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 3, 2007
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1780713172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WI · 2950-320✔ Licensed in KS · 04-35244
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2640 WEST POINT RD, Green Bay, WI 54304
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Secondary Practice Location 1

Location 11901 E 1st StNewton, KS 67114-5010 · Phone (316) 284-6431

Other Identifiers 2

Medicaid200749810AKS
Medicaid1780713172WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health 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

Dr. Semhal Abbay 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 ID4880788678
PECOS Enrollment IDI20230822002940
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

93.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.61
Promoting Interoperability99
Improvement Activities40
Cost76.71

Other Providers at the Same Location NPPES 3

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

LOIS SKRIVANIE RN
Registered Nurse (Psychiatric/Mental Health)
2640 WEST POINT RD
GREEN BAY, WI 54304
Brown County (920) 490-3790
ONEIDA NATION
Social Worker (Clinical)
2640 WEST POINT RD
GREEN BAY, WI 54304
Brown County (920) 490-3790
MR. ROBERT WILLIAM HAEN
Counselor (Professional)
2640 WEST POINT RD
GREEN BAY, WI 54304
Brown County (920) 496-3790

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 Semhal Abbay's NPI number?

The NPI number for Semhal Abbay is 1780713172. It was assigned to this individual provider in the NPPES registry on March 3, 2007.

Where is Semhal Abbay located?

Semhal Abbay practices at 2640 West Point Rd, Green Bay, WI 54304. The listed phone number is (920) 490-3790.

What is Semhal Abbay's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Semhal Abbay enrolled in Medicare?

Yes. Semhal Abbay 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 Semhal Abbay accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Semhal Abbay 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 Semhal Abbay was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.