THABET R ABBARAH M.D.
NPI 1992811418
Otolaryngology in Waterford, MI

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
4000 HIGHLAND RD, SUITE 115, WATERFORD, MI 48328(248) 681-3555(248) 681-9809 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thabet R Abbarah M.d. NPPES

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

THABET R ABBARAH M.D. (NPI 1992811418) is an individual otolaryngology provider in Waterford, Michigan, licensed in Michigan (TA052508) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1964).

NPPES Registry Identity

NPI1992811418
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTHABET R ABBARAHCredential: M.D.
Location Address4000 HIGHLAND RD, SUITE 115Waterford, MI 48328-2167
Mailing AddressPo Box 7257Bloomfield Hills, MI 48302-7257 · (248) 681-3555 · Fax (248) 681-9809
Fax(248) 681-9809
Sole ProprietorYes
Medical School CMSOtherGraduated 1964
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 15, 2008
NPI 1992811418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · TA052508
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4000 HIGHLAND RD, Waterford, MI 48328

Other Identifiers 13

OtherD99700MI · Health Alliance Plan
Other605MI · Health Plan Of Mi
Medicare UPIND99700MI
Medicaid10-2652878MI
Medicare OSCAR/certificationP57370001MI
Other103539MI · Great Lake Health Plan
Other006044MI · Midwest Health Plan
Other0406324371MI · Blue Cross Blue Shield Mi
Medicaid10-2738195MI
Other0406324371MI · Blue Care Network
Other48282MI · Omnicare Hmo
Medicaid10-2699598MI
Medicare PINP57370001MI

Accepted 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

Thabet R Abbarah 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 ID9739259730
PECOS Enrollment IDI20080603000312
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services52 patients
Test for hearing various pitches using earphone and device placed against the bone 92553
This is a hearing test that checks your ability to hear different pitches or frequencies. It involves wearing earphones and placing a device against your bone, usually behind the ear. It helps identify any hearing issues you might have.
82 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
52 services49 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
41 services39 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.
37 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48328 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
100%26 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
100%26 patients5/55-star benchmark: 100%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
98%3,215 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%462 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%2,320 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
38%1,529 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%76 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%534 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%75 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
61%1,529 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%1,529 patients1/55-star benchmark: 77%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Surgery
4000 HIGHLAND RD, SUITE 110
WATERFORD, MI 48328
Specialist
4000 HIGHLAND RD, SUITE 100
WATERFORD, MI 48328
Specialist
4000 HIGHLAND RD, SUITE 100
WATERFORD, MI 48328
Internal Medicine
4000 HIGHLAND RD, SUITE 104
WATERFORD, MI 48328
Internal Medicine (Pulmonary Disease)
4000 HIGHLAND RD, STE 130
WATERFORD, MI 48328
Pharmacist
4000 HIGHLAND RD, SUITE#113
WATERFORD, MI 48328
Surgery
4000 HIGHLAND RD, #110
WATERFORD TWP, MI 48328
Internal Medicine (Cardiovascular Disease)
4000 HIGHLAND RD, SUITE 109
WATERFORD, MI 48328

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 Thabet Abbarah's NPI number?

The NPI number for Thabet Abbarah is 1992811418. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Thabet Abbarah located?

Thabet Abbarah practices at 4000 Highland Rd Suite 115, Waterford, MI 48328. The listed phone number is (248) 681-3555.

What is Thabet Abbarah's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thabet Abbarah enrolled in Medicare?

Yes. Thabet Abbarah 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 Thabet Abbarah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Thabet Abbarah 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 Thabet Abbarah was last updated on September 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.