Pratibha Abraham, MD
NPI 1336589118 · Endocrinology, Diabetes & Metabolism Physician · Fenton, MO
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratibha Abraham, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Fenton, MO (NPI 1336589118).
Provider details
- NPI number
- 1336589118
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2018032435 (MO)
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
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
612 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) |
|---|---|---|
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 228 | $33 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 212 | $93 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 61 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 59 | $63 |
| 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 | 52 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 55 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 446 | 136 |
| Glipizidebrand: Glipizide Er | 303 | 101 |
| Metformin Hcl | 175 | 63 |
| Metformin Hclbrand: Metformin Hcl Er | 167 | 51 |
| Semaglutidebrand: Ozempic | 162 | 55 |
| Tirzepatidebrand: Mounjaro | 147 | 43 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$49 across 3 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
Additional practice locations (1)
- Ssm Health Medical Group1011 Bowles Avenue, Suite 300Fenton, MO 63026Phone: (636) 496-5048Fax: (636) 496-5041
Registry dates
- Enumerated
- 2013-06-26
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Frequently asked questions
- What is Pratibha Abraham's NPI number?
- Pratibha Abraham's National Provider Identifier (NPI) is 1336589118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratibha Abraham's specialty?
- Pratibha Abraham is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Pratibha Abraham located?
- Pratibha Abraham's practice location on file with NPPES is 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387.
- What is Pratibha Abraham's phone number?
- The practice phone number listed in the NPPES registry for Pratibha Abraham is (636) 496-5048.
- Does Pratibha Abraham accept Medicare?
- Pratibha Abraham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratibha Abraham's NPI active?
- Yes — Pratibha Abraham's NPI (1336589118) is active in the NPPES registry as of the last update on 2020-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.