USHA KIRAN ABBINENI
NPI 1942651344
Internal Medicine in Berlin, VT

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
130 FISHER RD UNIT 1, BERLIN, VT 05602(802) 371-1743 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2019, Jun 27, 2016 (2 updates tracked since 2016).

About Usha Kiran Abbineni NPPES

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

USHA KIRAN ABBINENI (NPI 1942651344) is an individual internal medicine provider in Berlin, Vermont, licensed in Vermont (042-0014501) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942651344
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameUSHA KIRAN ABBINENI
Location Address130 FISHER RD UNIT 1Berlin, VT 05602-8132
Mailing AddressPo Box 547Barre, VT 05641-0547
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration
NPI 1942651344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VT · 042-0014501
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

130 FISHER RD UNIT 1, Berlin, VT 05602

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

Usha Kiran Abbineni 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 ID7113257593
PECOS Enrollment IDI20221207000944
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 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.
373 services159 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.
159 services80 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.
146 services142 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.
20 services12 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.
19 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$17.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$108.50 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 19

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

Nurse Practitioner (Family)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Family Medicine
130 FISHER RD UNIT 1
BERLIN, VT 05602
Psychiatry & Neurology (Psychiatry)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Social Worker (Clinical)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Counselor (Mental Health)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Obstetrics & Gynecology
130 FISHER RD UNIT 1
BERLIN, VT 05602
Nurse Practitioner (Adult Health)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Family Medicine
130 FISHER RD UNIT 1
BERLIN, VT 05602

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 Usha Kiran Abbineni's NPI number?

The NPI number for Usha Kiran Abbineni is 1942651344. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Usha Kiran Abbineni located?

Usha Kiran Abbineni practices at 130 Fisher Rd Unit 1, Berlin, VT 05602. The listed phone number is (802) 371-1743.

What is Usha Kiran Abbineni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Usha Kiran Abbineni enrolled in Medicare?

Yes. Usha Kiran Abbineni 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.

Is Usha Kiran Abbineni affiliated with any hospitals?

According to CMS data, Usha Kiran Abbineni is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Usha Kiran Abbineni was last updated on July 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.