Active NPI 1003842170 Individual Practitioner Female Practitioner

Dr. Monique Lisa Abner , MD

Plastic Surgery • Reading, PA

Professional Overview & Biography Verified Profile Summary

Dr. Monique Abner, MD is a registered healthcare professional specializing in Plastic Surgery in Reading, PA. Practice services are available at 640 WALNUT ST FL 2 under active NPI credentials.

Frequently performed procedures and clinical services include removal of tissue from wound, 20.0 sq cm or less, established patient outpatient office visit, removal of tissue from wound. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 Walnut St Fl 2

Reading, PA 196013504

Telephone 6103782160

Fax 6103782197

Associated Practice Facility / Clinic

🏢 J M Winston Radiology Associates Inc Facility NPI 1194727040

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Reading, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 46.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Reading, PA (239 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	413	74	$155.00	$35.97
99213 Established patient office or other outpatient visit, typically 15 minutes	311	83	$170.00	$67.12
97598 Removal of tissue from wound, each additional 20.0 sq cm	104	13	$108.00	$25.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$398.00	$135.54
11042 Removal of skin and tissue, 20.0 sq cm or less	26	11	$186.00	$60.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	19	$233.00	$99.17
17250 Application of chemical to stop tissue regrowth in wound	23	13	$159.00	$36.04
11106 Incision biopsy, first skin growth	19	14	$239.00	$57.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$247.00	$83.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	387	89	$155.00	$37.56
99213 Established patient office or other outpatient visit, typically 15 minutes	385	96	$170.00	$51.68
97598 Removal of tissue from wound, each additional 20.0 sq cm	189	22	$108.00	$26.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$398.00	$130.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	32	$233.00	$79.36
11042 Removal of skin and tissue, 20.0 sq cm or less	37	13	$186.00	$60.11
17250 Application of chemical to stop tissue regrowth in wound	28	16	$159.00	$37.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$247.00	$76.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97598 Removal of tissue from wound, each additional 20.0 sq cm	1,030	34	$31.00	$11.41
97597 Removal of tissue from wound, 20.0 sq cm or less	437	94	$215.66	$24.64
99213 Established patient office or other outpatient visit, typically 15 minutes	255	67	$208.00	$52.17
99213 Established patient office or other outpatient visit, typically 15 minutes	155	44	$170.00	$50.90
97597 Removal of tissue from wound, 20.0 sq cm or less	142	35	$155.00	$24.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	57	$389.00	$141.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	28	$306.00	$78.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$233.00	$78.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$125.00	$26.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$398.00	$128.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$205.00	$75.08
93922 Ultrasound study of arm and leg arteries	23	23	$256.00	$12.52
11042 Removal of skin and tissue, 20.0 sq cm or less	17	11	$335.00	$64.67
17250 Application of chemical to stop tissue regrowth in wound	14	12	$228.00	$38.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$467.00	$133.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97598 Removal of tissue from wound, each additional 20.0 sq cm	1,726	62	$33.85	$11.51
97597 Removal of tissue from wound, 20.0 sq cm or less	919	188	$111.70	$24.40
99213 Established patient office or other outpatient visit, typically 15 minutes	367	134	$165.60	$52.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	91	$79.69	$26.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	65	$241.91	$77.84
11042 Removal of skin and tissue, 20.0 sq cm or less	55	29	$243.65	$63.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$389.51	$132.25
17250 Application of chemical to stop tissue regrowth in wound	35	17	$141.57	$37.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$241.68	$78.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97598 Removal of tissue from wound, each additional 20.0 sq cm	2,578	85	$35.10	$11.13
97597 Removal of tissue from wound, 20.0 sq cm or less	879	224	$81.91	$23.64
99213 Established patient office or other outpatient visit, typically 15 minutes	442	177	$132.21	$51.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	137	$66.35	$25.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	66	$92.22	$39.94
93922 Ultrasound study of arm and leg arteries	54	54	$158.22	$12.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	44	$281.96	$139.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$287.29	$130.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$192.51	$75.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	35	$130.51	$72.05
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$260.53	$103.29
17250 Application of chemical to stop tissue regrowth in wound	33	20	$103.12	$38.36
11042 Removal of skin and tissue, 20.0 sq cm or less	32	25	$173.13	$63.84
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	31	21	$79.00	$45.56
11100 Biopsy of single growth of skin and/or tissue	19	18	$133.11	$49.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$258.00	$78.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	11	$120.00	$70.60

Medical Specialties & State Licenses

CMS Verified: 2022-03-04

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA MD468319

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.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License MD D79733

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

1059R (NC)

Commercial Insurance / Payer ID United Healthcare

1341310 (NC)

Secondary Practice Locations

2603 Keiser Blvd Ste 204

Wyomissing, PA 196103356

Phone: 4846283939

2607 Keiser Blvd

Wyomissing, PA 196103326

Phone: 6107433139

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Thomas , MD

Surgery

NPI 1669421541

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location March 04, 2022

Registered at 640 WALNUT ST FL 2, READING, PA 196013504 (Tel: 6103782160)

📍

Updated Business Mailing Address March 04, 2022

Registered at 2500 BERNVILLE RD, READING, PA 196059453

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2022

Surgery (License #D79733 in MD)

📍

Updated Business Mailing Address March 29, 2021

Registered at PO BOX 13579, READING, PA 196123579 (Tel: 8462813244)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2021

Plastic Surgery (License #MD468319 in PA)

✅

NPI Profile Active December 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2015

Registered at 11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 217426710 (Tel: 2403139580)

📍

Updated Business Mailing Address December 30, 2015

Registered at 11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 217426710 (Tel: 2403139580)

👤

Provider Name / Credentials Updated December 30, 2015

Recorded as MONIQUE ABNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2015

Surgery (License #D79733 in MD)

🟢

Initial NPI Registration & Enumeration June 23, 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: 1003842170

Entity Type:

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

Enumeration Date: June 23, 2006

Last Update: March 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2500 Bernville Rd

Reading, PA 196059453

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.