ABERA H ABAY M.D.
NPI 1861489585
Internal Medicine - Gastroenterology in Norwich, CT

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
79 WAWECUS ST, SUITE 101, NORWICH, CT 06360(860) 886-2655 Get Directions Write a Review

NPPES record last updated: November 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abera H Abay M.d. NPPES

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

ABERA H ABAY M.D. (NPI 1861489585) is an individual gastroenterology provider in Norwich, Connecticut, licensed in Connecticut (039924) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1861489585
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameABERA H ABAYCredential: M.D.
Location Address79 WAWECUS ST, SUITE 101Norwich, CT 06360-2160
Mailing Address79 Wawecus St, Suite 101Norwich, CT 06360-2160 · (860) 886-2655
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 29, 2005
Last NPPES UpdateNovember 12, 2012
NPI 1861489585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CT · 039924
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

79 WAWECUS ST, Norwich, CT 06360

Other Identifiers 8

Other7734330Aetna Ppo
OtherP2671380CT · Oxford Health Plan
Medicare UPINH57344
Other2858099Aetna Hmo
Medicare ID-Type Unspecified100016514Railroad
Other770220CT · Connecticare
Medicare ID-Type Unspecified100000341
Other010039924CT02CT · Anthem Bcbs Of Ct

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

Abera H Abay 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 ID244374148
PECOS Enrollment IDI20100910001098
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 19

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.

Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
1,090 services12 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
125 services107 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
125 services100 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
90 services90 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services67 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
97%30 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
76%500 patients3/55-star benchmark: 99%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
27%66 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%494 patients4/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%785 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 82% · 302 patients
95%302 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 348 patients
0%348 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Optometrist
79 WAWECUS ST, SUITE 105
NORWICH, CT 06360
Internal Medicine (Cardiovascular Disease)
79 WAWECUS ST, SUITE 106
NORWICH, CT 06360
Ophthalmology
79 WAWECUS ST, STE 105
NORWICH, CT 06360
Ophthalmology
79 WAWECUS ST, SUITE 105
NORWICH, CT 06360
Ophthalmology
79 WAWECUS ST, SUITE 105
NORWICH, CT 06360
Podiatrist
79 WAWECUS ST, 109
NORWICH, CT 06360
Podiatrist
79 WAWECUS ST, 109
NORWICH, CT 06360
Internal Medicine (Pulmonary Disease)
79 WAWECUS ST, SUITE 102
NORWICH, CT 06360

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 Abera Abay's NPI number?

The NPI number for Abera Abay is 1861489585. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Abera Abay located?

Abera Abay practices at 79 Wawecus St Suite 101, Norwich, CT 06360. The listed phone number is (860) 886-2655.

What is Abera Abay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abera Abay enrolled in Medicare?

Yes. Abera Abay 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.

When was this NPI record last updated?

The NPPES record for Abera Abay was last updated on November 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.