Active NPI 1184733370 Individual Practitioner Male Practitioner

Dr. Ed A. Abell , MD

Plastic Surgery • Gainesville, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ed Abell, MD is a certified Plastic Surgery practicing in Gainesville, GA. With approximately 29 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1997, Dr. Abell delivers high-quality medical care to the local community at 1296 SIMS ST STE B.

Dr. Abell is affiliated with Northeast Georgia Physicians Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, x-ray of finger, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1296 Sims St Ste B

Gainesville, GA 305013850

Telephone 7705341856

Associated Practice Facility / Clinic

🏢 Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center Facility NPI 1023039385

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Gainesville, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +0.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Gainesville, GA (190 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abell (29 Years) 29 Yrs

Gainesville Specialty Average (28.4 Years) 28.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$236.00	$100.17
99213 Established patient office or other outpatient visit, typically 15 minutes	42	33	$157.00	$83.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$217.98	$106.86
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$145.00	$85.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$88.47	$53.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$217.00	$107.18
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$130.00	$84.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	23	$88.00	$53.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	43	$217.00	$106.43
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$128.00	$87.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$88.00	$53.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$306.00	$161.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	33	$86.02	$43.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$202.10	$104.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$208.00	$101.34
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$144.00	$72.72
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$144.67	$71.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$300.62	$160.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$205.16	$103.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	46	$83.00	$42.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$191.00	$103.80
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$142.42	$70.92
73140 X-ray of finger, minimum of 2 views	25	15	$106.00	$30.93
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$153.00	$70.74
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$189.00	$99.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	37	$83.00	$40.80
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$132.00	$70.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$193.00	$100.86
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$189.00	$99.33
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$153.00	$66.92
73140 X-ray of finger, minimum of 2 views	16	13	$106.00	$29.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	68	35	$286.00	$59.78
99213 Established patient office or other outpatient visit, typically 15 minutes	65	32	$153.00	$48.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	46	$83.00	$40.36
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$132.00	$69.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$193.00	$102.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$191.00	$100.61
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$379.00	$115.33
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$153.00	$69.36
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	11	11	$329.00	$134.26

Medical Specialties & State Licenses

CMS Verified: 2020-10-07

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License GA 054533

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

550344631A (GA)

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

743 Spring Nest, Gainesville, GA 305013715

Phone: 7702196000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. Arden Hothem , MD

Plastic Surgery

NPI 1033128186

Doctor of Medicine (M.D.)

Dr. Martin Bremer , DO

Anesthesiology

NPI 1104993534

Doctor of Osteopathic Medicine (D.O.)

Dr. Donald Campbell , MD

Plastic Surgery

NPI 1225185028

Doctor of Medicine (M.D.)

Rileigh Whitmore , PA

Physician Assistant - Surgical

NPI 1316889488

Physician Assistant

Dr. Emily Schaheen , MD, PhD

Orthopaedic Surgery

NPI 1326304882

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Sam Richwine , MD

Plastic Surgery

NPI 1386753564

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address October 07, 2020

Registered at 1296 SIMS ST STE B, GAINESVILLE, GA 305013873 (Tel: 7705341856)

📍

Updated Business Mailing Address July 21, 2020

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1296 SIMS ST STE B, GAINESVILLE, GA 305013850 (Tel: 7705341856)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1296 SIMS ST STE B, GAINESVILLE, GA 305013850 (Tel: 7705341856)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ED ABELL, M. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #054533 in GA)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184733370

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: October 07, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1296 Sims St Ste B

Gainesville, GA 305013873

Phone: 7705341856

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.