Active NPI 1578716338 Individual Practitioner Male Practitioner

Abraham Ballah , NP

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Abraham Ballah, NP is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 18 years of clinical experience since completing medical education in 2008, Abraham Ballah delivers high-quality medical care to the local community at 1 W BOYLSTON ST.

Abraham Ballah is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 W Boylston St
Suite 206

Worcester, MA 016051265

Telephone 5088542636

Associated Practice Facility / Clinic

🏢 Grove Street Chiropractic, Inc. Facility NPI 1235447822

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +7.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballah (18 Years) 18 Yrs

Worcester Specialty Average (10.9 Years) 10.9 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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	871	105	$229.00	$63.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	290	103	$302.00	$91.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	92	$445.00	$78.07
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$300.00	$65.92
99441 Telephone medical discussion with physician, 5-10 minutes	30	25	$197.00	$48.48
99442 Telephone medical discussion with physician, 11-20 minutes	21	18	$316.00	$78.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,054	180	$229.00	$64.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	93	56	$302.00	$91.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$445.00	$82.11
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$300.00	$71.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	961	259	$229.00	$60.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	100	79	$302.00	$79.91
99335 Established patient assisted living visit, typically 25 minutes	46	16	$314.00	$83.78
99356 Prolonged inpatient or observation hospital service, first hour	20	14	$317.00	$79.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	858	215	$226.61	$60.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	102	76	$300.47	$80.07
99318 Nursing facility annual assessment, typically 30 minutes	37	37	$308.73	$84.48
99335 Established patient assisted living visit, typically 25 minutes	26	12	$304.58	$71.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	559	200	$204.00	$62.11
99442 Telephone medical discussion with physician, 11-20 minutes	167	119	$235.84	$67.32
99443 Telephone medical discussion with physician, 21-30 minutes	73	71	$278.44	$97.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	70	53	$276.00	$82.44
99318 Nursing facility annual assessment, typically 30 minutes	42	42	$283.00	$86.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	871	262	$203.20	$61.28
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	129	92	$275.63	$81.11
99318 Nursing facility annual assessment, typically 30 minutes	21	21	$283.00	$85.33
99335 Established patient assisted living visit, typically 25 minutes	18	14	$278.11	$84.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	701	256	$192.00	$61.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	102	77	$270.00	$81.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	66	38	$192.00	$61.31
99335 Established patient assisted living visit, typically 25 minutes	16	11	$271.00	$83.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	611	196	$191.56	$60.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	380	178	$191.23	$60.28
99335 Established patient assisted living visit, typically 25 minutes	52	23	$269.73	$82.68

Medical Specialties & State Licenses

CMS Verified: 2020-11-05

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 252550

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

1 W Boylston St, Worcester, MA 016051274

Phone: 5088542636

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Antonios Mouzakis , MD

Internal Medicine

NPI 1083267421

Doctor of Medicine (M.D.)

Dr. Nancy Said , MD

Internal Medicine

NPI 1184607855

Doctor of Medicine (M.D.)

Rita Semaan

Internal Medicine

NPI 1205077716

Dr. Ruth Lainez Urrutia , MD

Internal Medicine

NPI 1477139277

Doctor of Medicine (M.D.)

Dr. Seong Yoon Kim , MD

Internal Medicine

NPI 1558920652

Doctor of Medicine (M.D.)

Dr. Sheryn Angelis , MD

Internal Medicine

NPI 1841238136

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 13, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2009

Registered at 1 W BOYLSTON ST, SUITE 206, WORCESTER, MA 016051265 (Tel: 5088542636)

📍

Updated Business Mailing Address January 13, 2009

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated January 13, 2009

Recorded as ABRAHAM BALLAH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2009

Nurse Practitioner (License #252550 in MA)

🟢

Initial NPI Registration & Enumeration October 24, 2008

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: 1578716338

Entity Type:

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

Enumeration Date: October 24, 2008

Last Update: November 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.