DR. RIMA ABRAHAM DEFATTA M.D.
NPI 1790931707
Otolaryngology in Altoona, WI

Active since August 09, 2008PECOS EnrolledAccepts Medicare Assignment
83.22/100
CMS Quality Rating
1490 RIVERS EDGE TRL, ALTOONA, WI 54720(715) 828-2368(715) 839-7796 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2021, Jan 8, 2019, Oct 23, 2017 (3 updates tracked since 2017).

About Dr. Rima Abraham Defatta M.d. NPPES

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

DR. RIMA ABRAHAM DEFATTA M.D. (NPI 1790931707) is an individual otolaryngology provider in Altoona, Wisconsin, licensed in Wisconsin (55928-20) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Temple University School Of Medicine (2005).

NPPES Registry Identity

NPI1790931707
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RIMA ABRAHAM DEFATTACredential: M.D.
Location Address1490 RIVERS EDGE TRLAltoona, WI 54720-2755
Mailing Address1490 Rivers Edge TrlAltoona, WI 54720-2755 · (715) 828-2368 · Fax (715) 839-7796
Fax(715) 839-7796
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2005
Enumeration DateAugust 9, 2008
Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
NPI 1790931707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in WI · 55928-20 Licensed in PA · 440103
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 ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 55928 (WI)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 55928 (WI)
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 55928 (WI)
1490 RIVERS EDGE TRL, Altoona, WI 54720

Other Names 1

Former Name (1)Rima Faraj Abraham M.d.

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. Rima Abraham Defatta 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 ID6002081908
PECOS Enrollment IDI20111205000218
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 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.
285 services40 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.
256 services157 patients
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.
200 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
66 services55 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.
62 services53 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
53 services41 patients

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Oakleaf Surgical Hospital

Acute Care Hospitals · Altoona, WI
OwnershipPhysician
CMS Certification Number520196
Location1000 Oakleaf WayAltoona, WI 54720 · Eau Claire County

Chippewa Valley Hospital

Critical Access Hospitals · Durand, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521307
Location1220 3rd Ave WDurand, WI 54736 · Pepin County
Emergency services

Cumberland Memorial Hospital

Critical Access Hospitals · Cumberland, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521353
Location1705 16th AveCumberland, WI 54829 · Barron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54720 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

83.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability89
Improvement Activities40
Cost50.47

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
1490 RIVERS EDGE TRL
ALTOONA, WI 54720
Speech-Language Pathologist
1490 RIVERS EDGE TRL
ALTOONA, WI 54720
Hearing Instrument Specialist
1490 RIVERS EDGE TRL
ALTOONA, WI 54720
Audiologist
1490 RIVERS EDGE TRL
ALTOONA, WI 54720
Pharmacy (Community/Retail Pharmacy)
1490 RIVERS EDGE TRL
ALTOONA, WI 54720
Physician Assistant
1490 RIVERS EDGE TRL
ALTOONA, WI 54720
Hearing Instrument Specialist
1490 RIVERS EDGE TRL
ALTOONA, WI 54720

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 Rima Defatta's NPI number?

The NPI number for Rima Defatta is 1790931707. It was assigned to this individual provider in the NPPES registry on August 9, 2008. The provider is also known as Rima Faraj Abraham M.D..

Where is Rima Defatta located?

Rima Defatta practices at 1490 Rivers Edge Trl, Altoona, WI 54720. The listed phone number is (715) 828-2368.

What is Rima Defatta's specialty?

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

Is Rima Defatta enrolled in Medicare?

Yes. Rima Defatta 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 Rima Defatta accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Rima Defatta 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 Rima Defatta affiliated with any hospitals?

According to CMS data, Rima Defatta is affiliated with Mayo Clinic Health System Eau Claire Hospital, Oakleaf Surgical Hospital, Chippewa Valley Hospital and Cumberland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rima Defatta was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.