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TOBY ABRAHAM DO
NPI 1952960213
Family Medicine in Oklahoma City, OK

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment
608 NW 9TH ST STE 1000, OKLAHOMA CITY, OK 73102(405) 231-3000(405) 231-3073 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2022, Jun 11, 2019 (2 updates tracked since 2019).

About Toby Abraham Do NPPES

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

TOBY ABRAHAM DO (NPI 1952960213) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (7150) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1952960213
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOBY ABRAHAMCredential: DO
Location Address608 NW 9TH ST STE 1000Oklahoma City, OK 73102-1014
Mailing Address608 Nw 9th St Ste 1000Oklahoma City, OK 73102-1014 · (405) 231-3000 · Fax (405) 231-3073
Phone(405) 231-3000
Fax(405) 231-3073
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateJune 11, 2019
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1952960213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 7150
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
608 NW 9TH ST STE 1000, Oklahoma City, OK 73102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.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

Toby Abraham Do 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 ID7517395999
PECOS Enrollment IDI20220228000946
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

4

Medicare enrollment records show Toby Abraham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metro Physicians LLC
0.2 mi
Hospitalist
1111 N LEE AVE STE 305
Oklahoma City, OK 73103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 89 clinicians in this Medicare group
NPI 1588374797 (405) 272-4978
Integris Ambulatory Care Corporation
9.9 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298
Alva Hospital Authority/Dba Share Medical Center
108 mi
Clinic/Center
1630 SANTA FE ST
Waynoka, OK 73860
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: Alva Hospital Authority
  • 23 clinicians in this Medicare group
NPI 1104410125 (580) 327-2800
Mccurtain Memorial Medical Management, Inc.
189 mi
Surgery
1315 S LYNN LN
Idabel, OK 74745
  • Reassigned Medicare billing, Oklahoma enrollment
  • 59 clinicians in this Medicare group
NPI 1356506109 (580) 286-2947

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 4

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 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.
341 services143 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.
109 services106 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.
69 services43 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.
60 services57 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73102 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

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

JEFFREY MANI MD
Family Medicine
608 NW 9TH ST STE 1000
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-7494
DRU SCHMIDTBERGER MD
Student in an Organized Health Care Education/Training Program
608 NW 9TH ST STE 1000
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 231-3000
DR. DAVID MELVIN BOYCE M.DL.
Family Medicine
608 NW 9TH ST STE 1000
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-7494
KRISTYN LESTER DO
Family Medicine
608 NW 9TH ST STE 1000
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-7494
DR. CHRISTOPHER DANIEL SMITH MD
Family Medicine
608 NW 9TH ST STE 1000
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-7494

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 Toby Abraham's NPI number?

The NPI number for Toby Abraham is 1952960213. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Toby Abraham located?

Toby Abraham practices at 608 NW 9th St Ste 1000, Oklahoma City, OK 73102. The listed phone number is (405) 231-3000.

What is Toby Abraham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Toby Abraham enrolled in Medicare?

Yes. Toby Abraham 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 Toby Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toby Abraham reassigns Medicare benefits to 4 organizations: Metro Physicians LLC (Oklahoma City, OK), Integris Ambulatory Care Corporation (Oklahoma City, OK), Alva Hospital Authority/Dba Share Medical Center (Waynoka, OK) and Mccurtain Memorial Medical Management, Inc. (Idabel, OK). 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 Toby Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toby Abraham accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Toby Abraham 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 Toby Abraham affiliated with any hospitals?

According to CMS data, Toby Abraham is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Toby Abraham was last updated on April 12, 2022. 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.