✓ Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery (208200000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

MONIQUE LISA ABNER, MD (NPI #1003842170)

Plastic Surgery • READING, PA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1003842170
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208200000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
Box 32 Service Location & ZIP+4
640 WALNUT ST FL 2, READING, PA, 19601-3504
✓ 9-Digit EDI 837 ZIP+4 (19601-3504)
Practice Phone & Referral Fax
Fax: (610) 378-2197
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003842170 (MONIQUE LISA ABNER, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1003842170 (NPI-1 Individual Practitioner)
Provider / Legal NameMONIQUE LISA ABNER, MD
Plain-English SpecialtyLicensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
NUCC Code: 208200000X (Plastic Surgery)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address640 WALNUT ST FL 2, READING, PA, 19601-3504
Practice Telephone / FaxTel: (610) 378-2160 | Fax: (610) 378-2197
Administrative Mailing Address2500 BERNVILLE RD, READING, PA, 19605-9453
Enumeration & Last SyncEnumerated: 2006-06-23 | CMS Record Updated: 2022-03-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

640 WALNUT ST FL 2, READING, PA, 19601-3504

🗺️ Open in Google Maps 🏥 More Providers in READING

Plain-English Taxonomy & CMS Crosswalk (208200000X)

What Does Taxonomy Code 208200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MONIQUE LISA ABNER, MD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
2086S0122X — Surgery, Plastic and Reconstructive Surgery
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery
State: MD | License: D79733 | Primary: Secondary
208200000X — Plastic Surgery
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
State: PA | License: MD468319 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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