Active NPI 1154616985 Individual Practitioner Female Practitioner

Dr. Heather N Abraham , MD

Internal Medicine • Troy, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heather Abraham, MD is a certified Internal Medicine practicing in Troy, MI. With approximately 15 years of clinical experience since graduating from Wayne State University School Of Medicine in 2011, Dr. Abraham delivers high-quality medical care to the local community at 1560 E MAPLE RD.

Dr. Abraham is affiliated with University Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1560 E Maple Rd
Suite 400-Credentialing

Troy, MI 480831138

Telephone 3137454525

Fax 3139667305

Associated Practice Facility / Clinic

🏢 University Physician Group Facility NPI 1619380946

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Troy, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -14.2 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

122 Specialists

Practicing in Troy, MI (6010 Statewide)

Telehealth Adoption Rate

37.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abraham (15 Years) 15 Yrs

Troy Specialty Average (29.2 Years) 29.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	35	$253.96	$94.52
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$180.65	$64.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$256.60	$123.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	39	$226.00	$99.14
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$156.00	$66.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	33	$226.00	$100.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	11	$218.00	$101.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	17	$152.00	$65.30
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$156.00	$68.97
99238 Hospital discharge day management, 30 minutes or less	15	15	$153.00	$68.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$239.00	$132.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	27	$226.00	$103.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	15	$152.00	$63.42
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$156.00	$70.15
99238 Hospital discharge day management, 30 minutes or less	13	13	$153.00	$74.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	23	$208.16	$75.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$301.64	$82.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	14	$316.36	$104.28
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$210.81	$53.78
99238 Hospital discharge day management, 30 minutes or less	12	12	$217.17	$76.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	121	58	$320.00	$107.10
99213 Established patient office or other outpatient visit, typically 15 minutes	104	85	$230.00	$75.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	48	$230.00	$74.95
99238 Hospital discharge day management, 30 minutes or less	48	46	$230.00	$75.02
82962 Blood glucose (sugar) test performed by hand-held instrument	43	36	$10.00	$3.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$330.00	$110.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$630.00	$208.50
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$230.00	$52.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$130.00	$40.73
83036 Hemoglobin A1C level	17	17	$40.00	$10.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	46	$230.00	$73.70
99213 Established patient office or other outpatient visit, typically 15 minutes	98	87	$230.00	$71.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	88	42	$317.14	$105.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	67	$330.00	$104.23
82962 Blood glucose (sugar) test performed by hand-held instrument	64	55	$10.00	$3.21
99238 Hospital discharge day management, 30 minutes or less	50	47	$230.00	$73.77
83036 Hemoglobin A1C level	37	35	$40.00	$11.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$630.00	$205.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$430.00	$138.99
G0008 Administration of influenza virus vaccine	13	13	$80.00	$20.55
90756 Vaccine for influenza for injection into muscle	12	12	$50.00	$22.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$360.00	$116.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	74	$230.00	$73.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	44	$231.06	$73.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	49	$330.00	$108.47
82962 Blood glucose (sugar) test performed by hand-held instrument	46	42	$10.00	$3.15
99238 Hospital discharge day management, 30 minutes or less	42	38	$230.00	$73.64
83036 Hemoglobin A1C level	24	24	$40.00	$13.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$430.00	$140.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$320.00	$106.47
G0008 Administration of influenza virus vaccine	13	13	$80.00	$25.35

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 4301098488

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MI 4301098488

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

University Physician Group

4201 Saint Antoine St, Detroit, MI 482012153

Phone: 3137453000

Practice Associates & Co-Workers

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

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NPI 1023016474

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Dr. James Leisen , MD

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NPI 1023056181

Doctor of Medicine (M.D.)

Dr. Sun Kwon Kim , MD, PhD

Obstetrics & Gynecology

NPI 1023386877

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

Dr. Mariam El-Magbri , MD

Student in an Organized Health Care Education/Training Program

NPI 1043065766

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 May 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2016

Registered at 1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 480831138 (Tel: 3137454525)

📍

Updated Business Mailing Address May 23, 2016

Registered at 50 E CANFIELD ST, DETROIT, MI 482011804 (Tel: 3137454525)

👤

Provider Name / Credentials Updated May 23, 2016

Recorded as HEATHER ABRAHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Internal Medicine (License #4301098488 in MI)

🟢

Initial NPI Registration & Enumeration June 09, 2011

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: 1154616985

Entity Type:

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

Enumeration Date: June 09, 2011

Last Update: May 23, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

50 E Canfield St

Detroit, MI 482011804

Phone: 3137454525

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.