KEVIN ABRAHAM, M.D. — NPI 1689037673 (Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) in WORCESTER, MA)

CMS-1500 Box 24J / 33a • NPI

1689037673

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207Q00000X (CMS 08)

Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)

Box 32 Service Location & ZIP+4

26 QUEEN ST, WORCESTER, MA, 01610-2473

✓ 9-Digit EDI 837 ZIP+4 (01610-2473)

Practice Phone & Referral Fax

(508) 334-1000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689037673 (KEVIN ABRAHAM, M.D.) 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).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1689037673)

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`36415`	Insertion of needle into vein for collection of blood sample	101
`80053`	Blood test, comprehensive group of blood chemicals	16
`80061`	Blood test, lipids (cholesterol and triglycerides)	16
`83036`	Hemoglobin a1c level	12
`85025`	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11
`99204`	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18
`99214`	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109
`99215`	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689037673` (NPI-1 Individual Practitioner)
Provider / Legal Name	KEVIN ABRAHAM, M.D.
Plain-English Specialty	Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: `207Q00000X` (Family Medicine)
Certifying / Licensing Body	American Board of Family Medicine (ABFM)
Practice Location Address	26 QUEEN ST, WORCESTER, MA, 01610-2473
Practice Telephone / Fax	Tel: (508) 334-1000
Administrative Mailing Address	119 BELMONT ST, WORCESTER, MA, 01605-2903
Enumeration & Last Sync	Enumerated: 2016-03-29 \| CMS Record Updated: 2023-03-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

26 QUEEN ST, WORCESTER, MA, 01610-2473

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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KEVIN ABRAHAM, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)

Common Therapeutic Classes:

Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: TX \| License: `R9902` \| Primary: Yes (Primary)
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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KEVIN ABRAHAM, M.D. (NPI #1689037673)