Sergio Abarca, M.D.
NPI 1245238617 · Family Medicine Physician · Tooele, UT
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sergio Abarca, M.D. is a Family Medicine Physician provider in Tooele, UT (NPI 1245238617).
Provider details
- NPI number
- 1245238617
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 5250296-1205 (UT)
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
20 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
467 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 | 218 | $118 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 85 | $162 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 59 | $84 |
| Hemoglobin A1c Level83036 | 57 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 31 | $123 |
| Automated Urinalysis Test81003 | 17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 104 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 328 | 94 |
| Levothyroxine Sodium | 193 | 54 |
| Omeprazole | 190 | 59 |
| Lisinopril | 143 | 41 |
| Hydrochlorothiazide | 134 | 41 |
| Metformin Hcl | 112 | 33 |
| Losartan Potassium | 102 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,160 across 59 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
- 2005-07-11
- Last updated
- 2014-01-15
Frequently asked questions
- What is Sergio Abarca's NPI number?
- Sergio Abarca's National Provider Identifier (NPI) is 1245238617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sergio Abarca's specialty?
- Sergio Abarca is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sergio Abarca located?
- Sergio Abarca's practice location on file with NPPES is 2356 N 400 E, Tooele, UT 84074.
- What is Sergio Abarca's phone number?
- The practice phone number listed in the NPPES registry for Sergio Abarca is (435) 882-2350.
- Does Sergio Abarca accept Medicare?
- Sergio Abarca is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sergio Abarca's NPI active?
- Yes — Sergio Abarca's NPI (1245238617) is active in the NPPES registry as of the last update on 2014-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.