CLARENCE ABELLA M.D.
NPI 1962513523
Family Medicine in Joliet, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1106 NEAL AVE, JOLIET, IL 60433(815) 727-8670 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clarence Abella M.d. NPPES

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

CLARENCE ABELLA M.D. (NPI 1962513523) is an individual family medicine provider in Joliet, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1962513523
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLARENCE ABELLACredential: M.D.
Location Address1106 NEAL AVEJoliet, IL 60433-2548
Mailing Address1356 Hickory Creek DrNew Lenox, IL 60451-3451 · (815) 462-7735
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962513523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1106 NEAL AVE, Joliet, IL 60433

Other Identifiers 1

Medicare UPING04988

Accepted 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

Clarence Abella 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 ID1355491747
PECOS Enrollment IDI20090605000040
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 Clarence Abella reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
14489 JOHN HUMPHREY DR, SUITE 1-NA
Orland Park, IL 60462
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Excellent Medical Associates PC
  • 24 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2338 NEW ST
Blue Island, IL 60406
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
Family Medicine
4316 N ELSTON AVE
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group

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

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.

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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60433 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$43.68 avg. paid by Medicare
Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$39.70 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 20

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

Nurse Practitioner (Adult Health)
1106 NEAL AVE
JOLIET, IL 60433
Nurse Practitioner (Psychiatric/Mental Health)
1106 NEAL AVE
JOLIET, IL 60433
Advanced Practice Dental Therapist
1106 NEAL AVE
JOLIET, IL 60433
Nurse Practitioner (Family)
1106 NEAL AVE
JOLIET, IL 60433
Internal Medicine
1106 NEAL AVE
JOLIET, IL 60433
Nurse Practitioner (Psychiatric/Mental Health)
1106 NEAL AVE
JOLIET, IL 60433
Dentist
1106 NEAL AVE
JOLIET, IL 60433
Psychiatry & Neurology (Psychiatry)
1106 NEAL AVE
JOLIET, IL 60433

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 Clarence Abella's NPI number?

The NPI number for Clarence Abella is 1962513523. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Clarence Abella located?

Clarence Abella practices at 1106 Neal Ave, Joliet, IL 60433. The listed phone number is (815) 727-8670.

What is Clarence Abella's specialty?

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

Is Clarence Abella enrolled in Medicare?

Yes. Clarence Abella 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 Clarence Abella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Abella reassigns Medicare benefits to 4 organizations: Excellent Medical Associates, P.C. (Orland Park, IL), Beloved Community Family Wellness Center (Blue Island, IL), Physicians Immediate Care North Chicago LLC (Chicago, IL) and Southwest Medical Group Ltd (Chicago, IL). 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 Clarence Abella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarence Abella accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Clarence Abella 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 Clarence Abella was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.