Marc Abboud, MD
NPI 1265096531 · Urology Physician · Los Alamitos, CA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Abboud, MD is a Urology Physician provider in Los Alamitos, CA (NPI 1265096531).
Provider details
- NPI number
- 1265096531
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A193238 (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
7 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
182 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) |
|---|---|---|
| Urinalysis Using Microscope81015 | 69 | $3 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $139 |
| 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 | 31 | $17 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 19 | $180 |
| Limited Ultrasound Scan Behind Abdominal Cavity76775 | 18 | $66 |
Typical Medicare-allowed amounts for these services range $3–$180 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 78 | 58 |
| Cephalexin | 40 | 31 |
| Finasteride | 36 | 25 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 28 | 27 |
| Methenamine Hippurate | 26 | 22 |
| Oxybutynin Chloride | 19 | 17 |
| Vibegronbrand: Gemtesa | 17 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,867 across 27 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
- 2019-04-23
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Frequently asked questions
- What is Marc Abboud's NPI number?
- Marc Abboud's National Provider Identifier (NPI) is 1265096531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Abboud's specialty?
- Marc Abboud is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Abboud located?
- Marc Abboud's practice location on file with NPPES is 3771 Katella Ave Ste 210, Los Alamitos, CA 90720-3118.
- What is Marc Abboud's phone number?
- The practice phone number listed in the NPPES registry for Marc Abboud is (562) 430-0581.
- Does Marc Abboud accept Medicare?
- Marc Abboud is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Abboud's NPI active?
- Yes — Marc Abboud's NPI (1265096531) is active in the NPPES registry as of the last update on 2024-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.