DR. TONY ABDO M.D
NPI 1841555935
Internal Medicine - Pulmonary Disease in Oklahoma City, OK

Active since July 05, 2012PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-9434(405) 271-9435 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tony Abdo M.d NPPES

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

DR. TONY ABDO M.D (NPI 1841555935) is an individual pulmonary disease provider in Oklahoma City, Oklahoma, licensed in Oklahoma (31330) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1841555935
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. TONY ABDOCredential: M.D
Location Address920 STANTON L YOUNG BLVDOklahoma City, OK 73104
Mailing Address800 Stanton L Young Blvd # 8400Oklahoma City, OK 73104-5018 · (405) 271-6173 · Fax (405) 271-5892
Fax(405) 271-9435
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 5, 2012
Last NPPES UpdateJune 15, 2018
NPI 1841555935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OK · 31330
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP02652 (RI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 31330 (OK)
920 STANTON L YOUNG BLVD, Oklahoma City, OK 73104

Secondary Practice Location 1

Location 1825 Chalkstone AveProvidence, RI 02908-4728 · Phone (401) 456-2033

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. Tony Abdo 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 ID6608015375
PECOS Enrollment IDI20151103001431
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 11

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
163 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services38 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.
34 services23 patients
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.
31 services19 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
25 services24 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$29.51 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$25.92 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.

Internal Medicine (Infectious Disease)
920 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Anesthesiology
920 STANTON L YOUNG BLVD, WP 2530
OKLAHOMA CITY, OK 73104
Internal Medicine
920 STANTON L YOUNG BLVD, WP 1130
OKLAHOMA CITY, OK 73104
Urology
920 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Anesthesiology
920 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Psychiatry & Neurology (Psychiatry)
920 STANTON L YOUNG BLVD, WP 3240
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
920 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Anesthesiology
920 STANTON L YOUNG BLVD, WP2530
OKLAHOMA CITY, OK 73104

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 Tony Abdo's NPI number?

The NPI number for Tony Abdo is 1841555935. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Tony Abdo located?

Tony Abdo practices at 920 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-9434.

What is Tony Abdo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Tony Abdo enrolled in Medicare?

Yes. Tony Abdo 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 Tony Abdo accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Tony Abdo 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 Tony Abdo affiliated with any hospitals?

According to CMS data, Tony Abdo is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Tony Abdo was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.