Active NPI 1497750764 Individual Practitioner Male Practitioner

Dr. Philip Abraham , MD

Internal Medicine • Kittery, ME

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Philip Abraham, MD is a certified Internal Medicine practicing in Kittery, ME. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Abraham delivers high-quality medical care to the local community at 42 STATE RD UNIT 103.

Dr. Abraham accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

42 State Rd Unit 103

Kittery, ME 039041810

Telephone 2076517432

Fax 8885190831

Associated Practice Facility / Clinic

🏢 Philip Abraham Md Llc Facility NPI 1710145172

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kittery, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Kittery, ME (620 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

43.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abraham (36 Years) 36 Yrs

Kittery Specialty Average (36.0 Years) 36.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	221	67	$145.00	$88.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	52	$215.00	$124.93
81002 Urinalysis, manual test	44	18	$15.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$272.46	$126.30
G0008 Administration of influenza virus vaccine	21	21	$35.71	$31.63
90661 Influenza vaccine, trivalent derived from cell cultures	21	21	$35.00	$34.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	103	$145.29	$87.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	64	63	$971.25	$243.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$218.59	$118.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$779.00	$99.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$829.00	$175.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$330.00	$162.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$239.86	$126.44
45380 Biopsy of large bowel using an endoscope	18	18	$861.00	$192.02
G0008 Administration of influenza virus vaccine	17	17	$38.29	$30.15
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$35.00	$33.49
45378 Diagnostic exam of large bowel using a flexible endoscope	17	16	$777.00	$171.46
43249 Balloon dilation of esophagus using an endoscope	16	16	$799.00	$116.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$215.00	$109.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	313	102	$145.00	$89.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$220.61	$124.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$971.25	$248.40
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	28	28	$35.00	$31.51
G0008 Administration of influenza virus vaccine	28	28	$37.50	$29.25
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$829.00	$179.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$228.00	$129.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$330.00	$157.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$779.00	$87.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$215.00	$110.45
45380 Biopsy of large bowel using an endoscope	13	13	$861.00	$195.35
43249 Balloon dilation of esophagus using an endoscope	12	12	$799.00	$119.15
91110 Imaging of digestive tract done from the inside of the digestive tract	12	12	$1975.00	$795.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	378	137	$145.00	$91.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	44	$217.09	$127.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$971.25	$254.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$327.09	$168.67
43249 Balloon dilation of esophagus using an endoscope	31	27	$799.00	$136.31
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	31	31	$44.68	$29.94
45380 Biopsy of large bowel using an endoscope	30	30	$861.00	$200.87
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$779.00	$98.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$87.00	$56.54
G0008 Administration of influenza virus vaccine	28	28	$47.50	$16.94
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$829.00	$185.92
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	18	17	$30.00	$15.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$238.38	$133.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$215.93	$112.64
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$89.14	$14.88
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$777.00	$185.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	303	125	$145.23	$75.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	63	$222.01	$108.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	53	$87.00	$44.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$330.00	$163.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$230.07	$114.77
45380 Biopsy of large bowel using an endoscope	39	39	$861.00	$191.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$779.00	$99.63
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	27	25	$30.00	$15.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$971.25	$253.36
G0008 Administration of influenza virus vaccine	21	21	$37.00	$16.86
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$829.00	$189.41
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$35.00	$19.17
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$777.00	$190.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	361	129	$145.00	$73.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	75	$87.00	$45.22
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	79	78	$971.25	$249.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	73	71	$779.00	$81.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	59	$215.00	$109.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$330.00	$164.47
45380 Biopsy of large bowel using an endoscope	51	51	$861.00	$166.71
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	35	35	$829.00	$189.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$228.00	$117.01
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	31	31	$35.00	$17.88
G0008 Administration of influenza virus vaccine	30	30	$37.33	$16.55
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	25	24	$795.00	$228.70
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	22	22	$30.00	$17.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$215.00	$108.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$829.00	$189.24
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$63.52	$17.10
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$777.00	$189.38
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	11	11	$219.00	$108.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	133	$145.54	$71.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	148	104	$87.00	$43.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	95	94	$779.00	$82.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	73	$220.41	$106.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$330.00	$162.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	74	74	$971.25	$253.23
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	62	62	$960.75	$179.76
45380 Biopsy of large bowel using an endoscope	48	48	$861.00	$147.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$228.00	$116.03
G0008 Administration of influenza virus vaccine	34	34	$35.00	$20.44
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	33	33	$35.00	$17.88
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$829.00	$186.63
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$777.00	$184.50
91110 Imaging of digestive tract done from the inside of the digestive tract	21	20	$1975.00	$866.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$829.00	$186.88
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	17	16	$30.00	$19.25
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$63.52	$16.85
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	15	14	$795.00	$223.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$411.00	$192.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	126	$145.23	$71.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	89	$86.98	$43.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	82	$216.94	$106.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	92	90	$779.00	$82.49
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	76	76	$960.74	$153.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$330.00	$161.70
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	60	59	$960.75	$270.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	49	48	$971.25	$177.48
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	45	45	$829.00	$185.60
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	37	37	$35.00	$17.34
G0008 Administration of influenza virus vaccine	37	37	$40.68	$25.33
45378 Diagnostic exam of large bowel using a flexible endoscope	36	36	$781.33	$181.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$411.00	$203.21
45380 Biopsy of large bowel using an endoscope	31	31	$861.00	$118.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$228.00	$114.56
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$829.00	$186.06
43249 Balloon dilation of esophagus using an endoscope	20	20	$797.60	$147.84
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	17	17	$30.00	$18.75
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$63.52	$16.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$282.15	$143.07
91110 Imaging of digestive tract done from the inside of the digestive tract	12	12	$1975.00	$846.99

Medical Specialties & State Licenses

CMS Verified: 2023-11-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License ME MD16477

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License ME 016477

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

223240000 (ME)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location November 03, 2023

Registered at 42 STATE RD UNIT 103, KITTERY, ME 039041810 (Tel: 2076517432)

📍

Updated Business Mailing Address November 03, 2023

Registered at 42 STATE RD UNIT 103, KITTERY, ME 039041810 (Tel: 2076517432)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2023

Internal Medicine (License #016477 in ME)

📍

Updated Practice Location July 23, 2021

Registered at 27 JUNE ST, SANFORD, ME 040732621 (Tel: 2076517432)

📍

Updated Business Mailing Address July 23, 2021

Registered at 27 JUNE ST, SANFORD, ME 040732621 (Tel: 2076517432)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2021

Internal Medicine (License #MD16477 in ME)

✅

NPI Profile Active February 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 16, 2011

Registered at 25A JUNE ST, SUITE 111, SANFORD, ME 040732642 (Tel: 2073245968)

📍

Updated Business Mailing Address February 16, 2011

Registered at 25A JUNE ST, STE 111, SANFORD, ME 040732642 (Tel: 2073245968)

👤

Provider Name / Credentials Updated February 16, 2011

Recorded as PHILIP ABRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2011

Internal Medicine (License #016477 in ME)

🟢

Initial NPI Registration & Enumeration June 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497750764

Entity Type:

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

Enumeration Date: June 14, 2005

Last Update: November 03, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

42 State Rd Unit 103

Kittery, ME 039041810

Phone: 2076517432

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.