WILLIAM ABRAHAM
NPI 1205805587
Specialist in Pittsburgh, PA


Quality Rating: 81 out of 100 score

NPI Status: Active since March 17, 2006

Contact Information

9104 BABCOCK BLVD
SUITE 2120
PITTSBURGH, PA
ZIP 15237
Phone: (412) 367-0600

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  • Individual
  • Male
  • Years of Experience 42
  • Specialist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About WILLIAM ABRAHAM

This page provides the complete NPI Profile along with additional information for William Abraham, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Specialist and more than 42 years of experience. He graduated from University Of Pittsburgh School Of Medicine in 1984. The healthcare provider is registered in the NPI registry with number 1205805587 assigned on March 2006. The practitioner's primary taxonomy code is 174400000X with license number MD034697E (PA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1205805587
Provider Name
WILLIAM ABRAHAM
Gender
Male
Entity Type
Individual
Location Address
9104 BABCOCK BLVD SUITE 2120 PITTSBURGH, PA 15237
Location Phone
(412) 367-0600
Mailing Address
9104 BABCOCK BLVD SUITE 2120 PITTSBURGH, PA 15237
Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year
1984
Is Sole Proprietor?
No
Enumeration Date
03-17-2006
Last Update Date
03-25-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD034697E
License State
PA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Medicare Participation & PECOS Enrollment Status

William Abraham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

William Abraham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496722571

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040916001047

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 329 times for 223 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 164 times for 130 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 346 times for 260 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 29 times for 28 patients

Hip replacement

A hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.

This service was performed for 22 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

This service was performed 63 times for 24 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 16 times for 16 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 606 times for 187 patients

Injection, methylprednisolone acetate, 80 mg

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

This service was performed 58 times for 50 patients

Knee replacement

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

This service was performed for 57 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 112 times for 112 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

This service was performed 14 times for 14 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 19 times for 18 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 11 times for 11 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 152 times for 105 patients

X-ray of knee, 1-2 views

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

This service was performed 15 times for 13 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 97 times for 65 patients

X-ray of knee, 4 or more views

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

This service was performed 262 times for 194 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 34 times for 34 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 81 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 65.46

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Pneumococcal Vaccination Status for Older Adults 45% 300
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. William Abraham is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UPMC PASSAVANT9100 BABCOCK BOULEVARD
PITTSBURGH, PA 15237
(412) 367-6700Acute Care Hospitals
UPMC PRESBYTERIAN SHADYSIDE200 LOTHROP STREET
PITTSBURGH, PA 15213
(412) 647-8788Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205805587
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220516010516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 0 + 1 + 0 + 5 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1205805587 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588667679TRI RIVERS SURGICAL ASSOCIATES, INC
Organization
Orthopaedic Surgery9104 BABCOCK BLVD STE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1427058452 HARRY MATTHEW NULL MD
Individual
Surgery9104 BABCOCK BLVD SUITE 1103 PASSAVANT PROFESSIONAL BLDG
PITTSBURGH, PA 15237
(412) 367-5010
1255333019 ROGER PONCHEK PA-C
Individual
Physician Assistant (Surgical)9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1679567671DR. RICHARD O YOST MD
Individual
Pediatrics9104 BABCOCK BLVD SUITE 2111
PITTSBURGH, PA 15237
(412) 364-5834
1477549996 ALAN WARREN SOLTER MD
Individual
Dermatology9104 BABCOCK BLVD SUITE 2104
PITTSBURGH, PA 15237
(412) 366-8500
1629056114 ROBIN Z DIETLY M.D.
Individual
Internal Medicine9104 BABCOCK BLVD SUITE 1106
PITTSBURGH, PA 15237
(412) 366-6841
1558334540DR. JOSEPH A GERARD MD
Individual
Specialist9104 BABCOCK BLVD SUITE 5114
PITTSBURGH, PA 15237
(412) 366-2010
1285607002 WILLIAM S. ZILLWEGER M.D.
Individual
Internal Medicine9104 BABCOCK BLVD SUITE 3111
PITTSBURGH, PA 15237
(412) 366-2950
1972570562DR. MOHAN CHABRA MD
Individual
Specialist9104 BABCOCK BLVD SUITE 5114
PITTSBURGH, PA 15237
(412) 366-2010
1568431765DR. THOMAS S. MUZZONIGRO M.D.
Individual
Specialist9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1801855887MR. STEVEN H. EWANSIK PA-C
Individual
Physician Assistant (Surgical)9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1427017078 NANCY R ELIGATOR MD
Individual
Specialist9104 BABCOCK BLVD SUITE 6107
PITTSBURGH, PA 15237
(412) 366-1322
1073572616MR. JONATHAN R. CAROTHERS PA-C
Individual
Physician Assistant (Surgical)9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1821057381MRS. GRETCHEN C. FINEMAN PA-C
Individual
Physician Assistant (Surgical)9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1659330140MR. J. DUANE CHESS PA-C
Individual
Physician Assistant (Surgical)9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1730148024MS. SANDRA L. NETTROUR PA-C
Individual
Physician Assistant (Surgical)9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1053371047DR. MICHAEL W. WEISS M.D.
Individual
Specialist9104 BABCOCK BLVD SUITE 2120
PITTSBURGH, PA 15237
(412) 367-0600
1306800917 SHARON SCHADLE BAER DO
Individual
Obstetrics & Gynecology9104 BABCOCK BLVD PASSAVANT HOSPITAL SUITE 6107
PITTSBURGH, PA 15237
(412) 366-1322
1740245802 RAHIM SOTOODEHFAR M.D.
Individual
Internal Medicine (Gastroenterology)9104 BABCOCK BLVD SUITE 5112
PITTSBURGH, PA 15237
(412) 366-4402
1063479988DR. RICHARD M SNYDER D.M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)9104 BABCOCK BLVD SUITE 6111
PITTSBURGH, PA 15237
(412) 366-2090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205805587, enumerated in the NPI registry as an "individual" on March 17, 2006

The provider is located at 9104 Babcock Blvd Suite 2120 Pittsburgh, Pa 15237 and the phone number is (412) 367-0600

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 42 years of experience. He graduated from University Of Pittsburgh School Of Medicine in 1984.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Hip replacement, Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose, Initial hospital inpatient care per day, typically 30 minutes, Injection, methylprednisolone acetate, 40 mg, Injection, methylprednisolone acetate, 80 mg, Knee replacement, New patient office or other outpatient visit, 45-59 minutes, Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of knee, 4 or more views and X-ray of lower and sacral spine, 2-3 views.

The practitioner is affiliated to the following hospital(s): UPMC PASSAVANT and UPMC PRESBYTERIAN SHADYSIDE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.