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

Q: 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..

Q: What is Rima Defatta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rima Defatta was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: October 18, 2026.

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

On this page

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 Marshfield Medical Center, 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

Phone(715) 828-2368

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

Open in Google Maps ↗

Other Names 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, HealthPartners, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Rima Defatta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Defatta Ent & Facial Plastic Surgery Sc

Same address

Specialist

1490 RIVERS EDGE TRAIL
Altoona, WI 54720

Reassigned Medicare billing, Wisconsin enrollment
5 clinicians in this Medicare group

NPI 1346664059 (715) 828-2368

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

46 services37 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.

37 services37 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

28 services20 patients

Removal or destruction of growth of nose through nose 30117

This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.

20 services13 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

17 services11 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

16 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520037

Location611 St Joseph AveMarshfield, WI 54449 · Wood County

Emergency services Birthing friendly

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

Quality

100

Promoting Interoperability

Improvement Activities

Cost

50.47

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.

KIRSTEN ELISE KERN NP

Nurse Practitioner