DR. CRAIG LEON ABBOTT M.D.
NPI 1962453795
Dermatology - Dermatopathology in Oklahoma City, OK

Q: What is Craig Abbott's NPI number?

The NPI number for Craig Abbott is 1962453795. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Craig Abbott's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Q: When was this NPI record last updated?

The NPPES record for Craig Abbott was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

83.31/100

CMS Quality Rating

3500 S WESTERN AVE, OKLAHOMA CITY, OK 73109(405) 632-5565(405) 632-3538 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Craig Leon Abbott M.d. NPPES

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

DR. CRAIG LEON ABBOTT M.D. (NPI 1962453795) is an individual dermatopathology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (17800) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (1990).

NPPES Registry Identity

NPI1962453795

Entity TypeIndividualMale

Primary Taxonomy207ND0900X

Provider Legal NameDR. CRAIG LEON ABBOTTCredential: M.D.

Location Address3500 S WESTERN AVEOklahoma City, OK 73109-2413

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(405) 632-5565

Fax(405) 632-3538

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1990

Enumeration DateMay 15, 2006

Last NPPES UpdateJune 30, 2021

NPPES CertifiedJune 30, 2021

✔ NPI 1962453795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

License✔ Licensed in OK · 17800

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedDermatologyTaxonomy 207N00000X · License 17800 (OK)

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 17800 (OK)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 17800 (OK)

3500 S WESTERN AVE, Oklahoma City, OK 73109

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Secondary Practice Location 1

Location 12644 NW 63rd StOklahoma City, OK 73116-4902 · Phone (405) 254-5565 · Fax (405) 254-5569

Other Identifiers 2

Other541511960-003OK · Blue Cross Blue Shield

Medicaid100746010AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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. Craig Leon Abbott 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 ID1759472228

PECOS Enrollment IDI20100122000311

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 16

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.

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

3,388 services169 patients

Ultrasonic guidance for placement of radiation therapy fields G6001

Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.

3,284 services168 patients

Superficial and/or low voltage radiation treatment delivery 77401

Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.

3,226 services164 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

274 services230 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

267 services185 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

189 services158 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

182 services160 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

100 services19 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

50 services27 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

45 services42 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

40 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

24 services23 patients

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks 17314

This procedure involves removing growths from the trunk, arms, or legs. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any abnormalities. This aids in diagnosing and treating your condition effectively.

24 services21 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

23 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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.

83.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.38

Promoting Interoperability

Improvement Activities

Cost

65.82

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Other Providers at the Same Location NPPES 3

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

RANDY RAY BLUETHMAN P.A.

Physician Assistant (Medical)

3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 632-5565

TARA GLEAVES P.A.

Physician Assistant (Medical)

3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 632-5565

ABBOTT DERMATOLOGY P C

Dermatology (Dermatopathology)

3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 632-5565

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 Craig Abbott's NPI number?

The NPI number for Craig Abbott is 1962453795. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Craig Abbott located?

Craig Abbott practices at 3500 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (405) 632-5565.

What is Craig Abbott's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Craig Abbott enrolled in Medicare?

Yes. Craig Abbott 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 Craig Abbott accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Craig Abbott 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.

When was this NPI record last updated?

The NPPES record for Craig Abbott was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.