ABIGAIL ELIZABETH TALLEY MD
NPI 1588196711
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Antonio, TX

NPI Status: Active since March 28, 2017

Contact Information

4940 BROADWAY STE 211
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 382-6566

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About ABIGAIL TALLEY

This page provides the complete NPI Profile along with additional information for Abigail Talley, a provider established in San Antonio, Texas with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1588196711 assigned on March 2017. The practitioner's primary taxonomy code is 2084P0804X with license number S6956 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1588196711
Provider Name
ABIGAIL ELIZABETH TALLEY MD
Gender
Female
Entity Type
Individual
Location Address
4940 BROADWAY STE 211 SAN ANTONIO, TX 78209
Location Phone
(210) 382-6566
Mailing Address
4940 BROADWAY STE 211 SAN ANTONIO, TX 78209
Mailing Phone
(210) 382-6566
Is Sole Proprietor?
No
Enumeration Date
03-28-2017
Last Update Date
03-04-2024
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Abigail Talley opted out of Medicare effective on 05-09-2024 until 05-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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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

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
S6956
License State
TX
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

S6956 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 8500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 1000 Indiv Med Deductible - HMO
  • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 3250 Indiv Med Deductible - HMO
  • Connect Gold 3500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3000 Indiv Med Deductible - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Abigail Talley 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-09-2024

  • Opt-Out End Date: 05-09-2026

  • Eligible to Order and Refer? Yes

  • 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

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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.
1588196711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168291272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 2 + 9 + 1 + 2 + 7 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1588196711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568566032 JOHN PICHOT
Individual
Psychiatry & Neurology (Psychiatry)4940 BROADWAY STE 211
SAN ANTONIO, TX 78209
(210) 826-4466
1437688827DR. MARK PICHOT DO
Individual
Psychiatry & Neurology (Psychiatry)4940 BROADWAY STE 211
SAN ANTONIO, TX 78209
(210) 826-4466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588196711, enumerated in the NPI registry as an "individual" on March 28, 2017

The provider is located at 4940 Broadway Ste 211 San Antonio, Tx 78209 and the phone number is (210) 382-6566

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

The provider might be accepting Accepts: Aetna CVS Health and Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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.

No, the provider signed an affidavit on May 09, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 09, 2026.

This NPI record was last updated on March 28, 2017. 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].
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