Scott Marvin Abraham, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Overland Park, KS
NPI 1265659296 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1265659296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 04-33767 (KS)
- Practice address
- 10777 Nall Ave Ste 300
Overland Park, KS 66211-1330 - Phone
- (913) 642-0200
- Fax
- (913) 563-6699
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Dickson Diveley Midwest Orthopaedic Clinic LLC
Practice addresses (Care Compare)
100 E Kansas St
Lansing, KS 66043-1610
Phone (913) 758-0283
10777 Nall Ave
Suite 300
Overland Park, KS 66211-1330
Phone (913) 642-0200
17067 S Outer Rd
Suite 301
Belton, MO 64012-2155
Phone (913) 642-0200
Hospital & facility affiliations
- Enhabit Home Health
- St Joseph Medical Center
- Adventhealth South Overland Park, Inc
- Kansas City Orthopaedic Institute
- Belton Regional Medical Center
- Adventhealth Shawnee Mission
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 35 |
| Knee replacement | 104 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090805000264 | KS | Practitioner - Orthopedic Surgery | 0345393583 | Reassigns benefits to 1 organization |
| I20090813000097 | MO | Practitioner - Orthopedic Surgery | 0345393583 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009012771 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Carondelet Orthopaedic Surgeons PA | Orthopaedic Surgery | Past | Accepting new patients |
| Overland Park Surgical Suites, LLC | Past |
Accepting new patients |
Locations
3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958
10777 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 257-6259
7450 Kessler St
Ste 140
Shawnee Mission, KS 66204
Phone (913) 319-7600
17067 S Outer Rd
Ste 301
Belton, MO 64012
Phone (913) 257-6259
201 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (913) 319-7600
4320 Wornall Rd
Ste 610
Kansas City, MO 64111
Phone (913) 319-7600
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
Interoperability endpoints
- sabraham@kcoa.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2009012771 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | 04-33767 | KS | Yes |
Addresses
Primary practice location
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Mailing address
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Phone (913) 642-0200
Other providers in Overland Park, KS
- Danielle E Abelson
- Sarah Katherine Ablan
- Dena Abnos
- Above & Beyond in-Home Kansas, LLC
- Mini R Abraham
- Bernard Mark Abrams
- Absolute Health
- Abundant Life Wellness Center
- Abundant Services,LLC
- Accent Optics, Inc.
All providers in Overland Park, KS · Orthopaedic Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.