Sisay Michael Abraham, MD
NPI 1184088312 · Family Medicine Physician · Edwardsville, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sisay Michael Abraham, MD is a Family Medicine Physician provider in Edwardsville, IL (NPI 1184088312).
Provider details
- NPI number
- 1184088312
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036152633 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,891 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 426 | $124 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 375 | $16 |
| Anticoagulant Management of Patient Taking Warfarin93793 | 314 | $11 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 182 | $126 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 122 | $87 |
| Hemoglobin A1c Level |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 136 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 539 | 192 |
| Amlodipine Besylate | 438 | 138 |
| Levothyroxine Sodium | 353 | 112 |
| Rosuvastatin Calcium | 330 | 109 |
| Lisinopril | 321 | 113 |
| Omeprazole | 239 | 77 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$315 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Frequently asked questions
- What is Sisay Michael Abraham's NPI number?
- Sisay Michael Abraham's National Provider Identifier (NPI) is 1184088312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sisay Michael Abraham's specialty?
- Sisay Michael Abraham is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sisay Michael Abraham located?
- Sisay Michael Abraham's practice location on file with NPPES is 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540.
- What is Sisay Michael Abraham's phone number?
- The practice phone number listed in the NPPES registry for Sisay Michael Abraham is (618) 800-4500.
- Does Sisay Michael Abraham accept Medicare?
- Sisay Michael Abraham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sisay Michael Abraham's NPI active?
- Yes — Sisay Michael Abraham's NPI (1184088312) is active in the NPPES registry as of the last update on 2025-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.