Active NPI 1780767558 Individual Practitioner Male Practitioner

Dr. Darius Abadi , DO

Surgery • Wellsboro, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Darius Abadi, DO is a certified Surgery practicing in Wellsboro, PA. With approximately 30 years of clinical experience since graduating from College Of Osteo Med Of The Pacific At Pomona in 1996, Dr. Abadi delivers high-quality medical care to the local community at 1 MAIN ST.

Dr. Abadi is affiliated with Upmc Wellsboro and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, 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

1 Main St

Wellsboro, PA 169011601

Telephone 5707230716

Fax 5707230669

Associated Practice Facility / Clinic

🏢 Tioga Healthcare Providers Inc-6 Facility NPI 1619948288

Medicare Profile & Education

Medical School

College Of Osteo Med Of The Pacific At Pomona

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wellsboro, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Wellsboro, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abadi (30 Years) 30 Yrs

Wellsboro Specialty Average (30.0 Years) 30.0 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	36	$573.00	$239.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	15	$311.00	$83.95

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	25	$162.00	$77.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	46	$573.00	$245.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$306.00	$127.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$311.00	$97.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$199.00	$179.01
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$275.00	$93.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	34	$573.00	$236.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	14	$162.00	$65.88
45378 Diagnostic exam of large bowel using a flexible endoscope	16	15	$219.00	$164.10
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$227.00	$92.79
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$275.00	$92.44
49505 Repair of groin hernia (5 years or older)	12	12	$1181.00	$493.44
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$219.00	$169.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	47	$573.00	$254.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	12	$162.00	$71.17
45378 Diagnostic exam of large bowel using a flexible endoscope	17	16	$212.56	$149.90
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$275.00	$112.97
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$219.00	$186.03
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$749.00	$334.96
49505 Repair of groin hernia (5 years or older)	11	11	$1181.00	$527.30
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$190.00	$84.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	46	46	$711.33	$258.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	21	$162.00	$71.94
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	19	$293.24	$115.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$215.00	$105.71
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$227.00	$96.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$392.06	$78.19
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	14	$283.80	$181.39
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$126.69	$61.30
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	11	$552.00	$87.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$947.00	$341.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$80.45	$18.69

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	102	$215.00	$105.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	48	$1385.00	$259.88
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$145.00	$72.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	27	$100.00	$40.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$630.00	$90.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$232.00	$101.89
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$497.00	$187.90
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1540.00	$175.14
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$301.00	$114.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	72	$144.54	$67.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	47	$99.13	$41.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$213.73	$99.59
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$506.10	$181.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$1381.86	$246.70
19081 Biopsy of breast accessed through the skin with stereotactic guidance	18	18	$578.00	$163.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$231.53	$101.32
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	11	$179.00	$85.86
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	14	$243.00	$102.06
17000 Destruction of skin growth	13	12	$118.00	$57.09
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1438.55	$174.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	195	146	$139.00	$67.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$1374.00	$246.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$201.00	$96.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$145.00	$67.13
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$161.00	$69.34
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	20	$560.00	$115.14
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	15	$607.00	$93.94
11100 Biopsy of single growth of skin and/or tissue	14	13	$224.00	$81.12
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$578.00	$162.13
45378 Diagnostic exam of large bowel using a flexible endoscope	13	11	$1168.00	$158.13

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA OS009623L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0018506820001 (PA)

Commercial Insurance / Payer ID Railroad Medicare

020050892 (PA)

Commercial Insurance / Payer ID First Priority Health

813198 (PA)

Commercial Insurance / Payer ID Blue Shield

1300115 (PA)

Commercial Insurance / Payer ID Geisinger Health Plan

65015

Commercial Insurance / Payer ID Aetna

7389239 (PA)

Hospital & Practice Group Affiliations

Upmc Wellsboro

9 Water St, Wellsboro, PA 169011117

Phone: 5707242325

Upmc Wellsboro

1 Main St, Wellsboro, PA 169011601

Phone: 5707230716

Upmc Wellsboro

32 -36 Central Ave, Wellsboro, PA 169011840

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Edward Hess , MD

Surgery

NPI 1043219280

Doctor of Medicine (M.D.)

Dr. Debra Silkes , MD

Surgery

NPI 1184687576

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 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2011

Registered at 1 MAIN ST, WELLSBORO, PA 169011601 (Tel: 5707230716)

📍

Updated Business Mailing Address January 18, 2011

Registered at 1 MAIN ST, WELLSBORO, PA 169011601 (Tel: 5707230716)

👤

Provider Name / Credentials Updated January 18, 2011

Recorded as DARIUS ABADI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2011

Surgery (License #OS009623L in PA)

🟢

Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780767558

Entity Type:

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

Enumeration Date: October 23, 2006

Last Update: January 18, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Main St

Wellsboro, PA 169011601

Phone: 5707230716

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.