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ABRAHAM JOSEPH MD
NPI 1912981200
Hospitalist in Fairmont, MN

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
800 MEDICAL CENTER DR, FAIRMONT, MN 56031(507) 238-8555 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2021, Sep 17, 2020, Jun 11, 2019 (3 updates tracked since 2019).

About Abraham Joseph Md NPPES

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

ABRAHAM JOSEPH MD (NPI 1912981200) is an individual hospitalist provider in Fairmont, Minnesota, licensed in Minnesota (44555) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Albert Lea And Austin, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1912981200
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameABRAHAM JOSEPHCredential: MD
Location Address800 MEDICAL CENTER DRFairmont, MN 56031-4575
Mailing Address800 Medical Center Dr, Po Box 800Fairmont, MN 56031-4575 · (507) 238-8555
Phone(507) 238-8555
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 1, 2005
Last NPPES UpdateApril 22, 20213 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1912981200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MN · 44555
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 44555 (MN)
800 MEDICAL CENTER DR, Fairmont, MN 56031
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Abraham Joseph 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 ID3274520036
PECOS Enrollment IDI20040426001347
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 Reassignments

5

Medicare enrollment records show Abraham Joseph reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Fairmont
3.9 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100
Mayo Clinic Health System-St James
22 mi
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261
Mayo Clinic Health System-Southwest Minnesota Region
43 mi
Multi-Specialty
1025 MARSH ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
  • 1,572 clinicians in this Medicare group
NPI 1578545422 (507) 625-4031
Mayo Clinic Health System-Southeast Minnesota Region
57 mi
Multi-Specialty
404 W FOUNTAIN ST
Albert Lea, MN 56007
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1891701637 (507) 373-2384
Mayo Clinic Health System-Lake City
123 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321

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 6

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.

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.
491 services196 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
178 services170 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services26 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240043
Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County
Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240166
Location800 Medical Center DriveFairmont, MN 56031 · Martin County
Emergency services Birthing friendly

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241333
Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County
Emergency services

Mayo Clinic Health System New Prague

Critical Access Hospitals · New Prague, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241361
Location301 2nd Street NortheastNew Prague, MN 56071 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56031 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

DAVID KRUSEMARK CRNA
Nurse Anesthetist, Certified Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8555
MS. MICHELLE LARAE GEERDES OTR/L
Occupational Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196
JAUCLYN RENEE GREEN NP
Nurse Practitioner
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
ANNE SHEPPARD RD
Dietitian, Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8555
APRIL E POOLMAN FNP-C
Nurse Practitioner (Family)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
DR. LUKE MATTHEW MADSEN D.P.M.
Podiatrist (Foot & Ankle Surgery)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
Non-Pharmacy Dispensing Site
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8168
DR. CATHERINE G JOHNSON DPT
Physical Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196

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 Abraham Joseph's NPI number?

The NPI number for Abraham Joseph is 1912981200. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Abraham Joseph located?

Abraham Joseph practices at 800 Medical Center Dr, Fairmont, MN 56031. The listed phone number is (507) 238-8555.

What is Abraham Joseph's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Abraham Joseph enrolled in Medicare?

Yes. Abraham Joseph 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.

Which organizations bill Medicare for Abraham Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abraham Joseph reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Fairmont (Fairmont, MN), Mayo Clinic Health System-St James (Saint James, MN), Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN), Mayo Clinic Health System-Southeast Minnesota Region (Albert Lea, MN) and Mayo Clinic Health System-Lake City (Lake City, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abraham Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abraham Joseph accept?

Health plans from Sanford Health Plan list Abraham Joseph 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 Abraham Joseph affiliated with any hospitals?

According to CMS data, Abraham Joseph is affiliated with Mayo Clinic Health System - Albert Lea And Austin, Mayo Clinic Health System - Mankato, Mayo Clinic Health System - Fairmont, Mayo Clinic Health System St. James and Mayo Clinic Health System New Prague.

When was this NPI record last updated?

The NPPES record for Abraham Joseph was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.