Active NPI 1568632263 Individual Practitioner Male Practitioner

Dr. Michael John Abboud , MD

Surgery • Reading, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Abboud, MD is a certified Surgery practicing in Reading, PA. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Abboud delivers high-quality medical care to the local community at 2494 BERNVILLE RD.

Dr. Abboud is affiliated with St Joseph Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of 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

2494 Bernville Rd
Suite 200

Reading, PA 196059469

Telephone 6103787900

Fax 6103781952

Associated Practice Facility / Clinic

🏢 Berks Vascular Institute, Pc Facility NPI 1902857485

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Reading, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Reading, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abboud (21 Years) 21 Yrs

Reading Specialty Average (18.8 Years) 18.8 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	107	90	$261.02	$122.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	43	$363.62	$167.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	24	$160.23	$75.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$444.00	$160.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$475.31	$206.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$367.33	$159.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$86.60	$47.31
19301 Partial removal of breast	21	19	$1492.14	$617.99
47562 Removal of gallbladder using an endoscope	12	12	$1495.33	$633.38
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$991.33	$211.33

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	114	92	$241.00	$123.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$366.00	$157.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$460.00	$213.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$455.00	$169.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	19	$323.00	$173.92
19301 Partial removal of breast	21	16	$1507.00	$645.93
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$164.00	$87.52
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1002.00	$231.97

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	106	91	$241.00	$122.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$366.00	$164.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	18	$164.00	$69.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$455.00	$191.69
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$164.00	$89.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$323.00	$177.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$460.00	$217.26

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	98	84	$241.00	$127.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	26	$164.00	$71.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$366.00	$166.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$455.00	$196.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	15	$323.00	$179.67
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$164.00	$84.29
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1002.00	$294.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$99.00	$55.40
19081 Biopsy of breast accessed through the skin with stereotactic guidance	12	12	$384.00	$165.50

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	113	91	$241.00	$106.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	32	$164.00	$72.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$366.00	$160.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	38	$455.00	$203.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$99.00	$44.81
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$164.00	$74.26
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$901.00	$172.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$323.00	$145.08

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	106	49	$145.15	$71.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	84	$206.33	$106.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$320.14	$157.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$395.00	$197.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	24	$280.42	$143.33
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$778.57	$172.01
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$150.07	$72.80
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$775.00	$254.54
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$178.00	$18.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$603.00	$315.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$432.18	$204.10

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	111	92	$170.16	$104.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	33	$117.56	$70.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	47	$329.49	$195.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$259.36	$160.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	18	$167.79	$102.83
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1271.31	$327.90
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$129.13	$18.54

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	101	82	$156.86	$102.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	34	$106.12	$70.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	54	$301.27	$197.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$242.04	$159.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	27	$153.26	$100.58
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$106.16	$70.37
47562 Removal of gallbladder using an endoscope	13	13	$987.89	$633.14

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD438853

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NJ 25MA08702900

Hospital & Practice Group Affiliations

St Joseph Medical Group

2494 Bernville Rd, Reading, PA 196059467

Phone: 6103787900

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Terrence Mckee , MD

Surgery

NPI 1437149853

Doctor of Medicine (M.D.)

Dr. Margaret Riccardi , DO

Surgery

NPI 1659732287

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 29, 2018

Registered at 2500 BERNVILLE RD, READING, PA 196059453 (Tel: 6103782000)

✅

NPI Profile Active June 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 21, 2012

Registered at 2494 BERNVILLE RD, SUITE 200, READING, PA 196059469 (Tel: 6103787900)

📍

Updated Business Mailing Address June 21, 2012

Registered at 2 EVES DR, SUITE109, MARLTON, NJ 080533193

👤

Provider Name / Credentials Updated June 21, 2012

Recorded as MICHAEL ABBOUD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2012

Surgery (License #25MA08702900 in NJ)

🟢

Initial NPI Registration & Enumeration March 10, 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: 1568632263

Entity Type:

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

Enumeration Date: March 10, 2008

Last Update: November 29, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2500 Bernville Rd

Reading, PA 196059453

Phone: 6103782000

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.