Donald Abrahm, M.D.
NPI 1215022405 · Gastroenterology Physician · Newport Beach, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Abrahm, M.D. is a Gastroenterology Physician provider in Newport Beach, CA (NPI 1215022405).
Provider details
- NPI number
- 1215022405
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G51196 (CA)
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
19 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
3,614 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,117 | $98 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 501 | $100 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 416 | $120 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 339 | $254 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 325 | $178 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 696 | 244 |
| Linaclotidebrand: Linzess | 143 | 43 |
| Dicyclomine Hcl | 119 | 65 |
| Balsalazide Disodium | 75 | 18 |
| Mesalamine | 69 | 19 |
| Famotidine | 68 | 21 |
| Dexlansoprazolebrand: Dexlansoprazole Dr | 65 | 15 |
| Lactulose |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,454 across 80 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
- 2006-10-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Donald Abrahm's NPI number?
- Donald Abrahm's National Provider Identifier (NPI) is 1215022405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Abrahm's specialty?
- Donald Abrahm is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Donald Abrahm located?
- Donald Abrahm's practice location on file with NPPES is 1525 Superior Avenue, Newport Beach, CA 92663-3639.
- What is Donald Abrahm's phone number?
- The practice phone number listed in the NPPES registry for Donald Abrahm is (949) 631-2670.
- Does Donald Abrahm accept Medicare?
- Donald Abrahm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Abrahm's NPI active?
- Yes — Donald Abrahm's NPI (1215022405) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.