Doctor profile · Federal record
Dr. Pratibha Abraham, MD
Endocrinology, Diabetes & Metabolism Physician (CMS: Endocrinology) · Fenton, MO
- NPI 1336589118
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1011 Bowles Ave Ste 300
Fenton, MO 630262387
(636) 496-5048 - Additional location
-
SSM Health Medical Group, 1011 Bowles Avenue, Suite 300
Fenton, MO 63026
fax (636) 496-5041 - Mailing address
-
Po Box 955534
Saint Louis, MO 631955534
Credentials & registration
- NPI registered
- June 2013 — 13 yrs on file
- Profile last updated
- November 3, 2020
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207RE0101X — NUCC code
- State license (1)
- Missouri #2018032435
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336589118. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
627
Distinct HCPCS
7
Medicare allowed
$46,536
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 285 | 167 | $95 | |
95251 |
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 187 | 54 | $34 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 66 | 60 | $64 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $126 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | 14 | $77 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | 18 | $127 | |
76536 |
Ultrasound scan of head and neck soft tissue | 13 | 13 | $27 |
In context: peer comparison
Among 1 peers in Fenton Endocrinology, Diabetes & Metabolism Physician, average services per provider: 89. This provider delivers 7.0× the peer median.Open Payments
Industry payments received
All-time total
$49
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Insulet Corporation | 1 | $17.23 | |
| Dexcom, INC. | 1 | $15.99 | |
| Abbott Laboratories | 1 | $15.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,254
Patients
637
Total drug cost
$1,389,866
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 387 | 125 | $6,223 |
| Glipizide ER (Glipizide) | Brand | 280 | 77 | $4,966 |
| Trulicity (Dulaglutide) | Brand | 198 | 40 | $281,571 |
| Ozempic (Semaglutide) | Brand | 190 | 43 | $241,247 |
| Metformin Hcl | Generic | 187 | 69 | $1,927 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 179 | 53 | $2,677 |
| Lantus Solostar (Insulin Glargine,Hum.Rec.Anlog) | Brand | 169 | 58 | $120,421 |
| Jardiance (Empagliflozin) | Brand | 122 | 25 | $134,300 |
| Omnipod 5 G6 Pods (Gen 5) (Insulin Pump Cart,Automated,Bt) | Brand | 101 | 18 | $94,596 |
| Nano 2Nd Gen Pen Needle (Pen Needle, Diabetic) | Brand | 82 | 38 | $9,601 |
Frequently asked questions
What is Dr. Pratibha Abraham's medical specialty?
Dr. Pratibha Abraham practices Endocrinology, Diabetes & Metabolism Physician in Fenton, MO.
Where does Dr. Pratibha Abraham practice?
Dr. Pratibha Abraham practices at 1011 Bowles Ave Ste 300, Fenton, MO 630262387. Office phone: 6364965048.
What is Dr. Pratibha Abraham's NPI?
Dr. Pratibha Abraham's National Provider Identifier (NPI) is 1336589118, issued by NPPES.
Does Dr. Pratibha Abraham accept Medicare assignment?
Yes. Dr. Pratibha Abraham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pratibha Abraham commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS 95251); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.