NPPES file of Aug 9, 2026

Donald Robert Abrahm, M.D.

Gastroenterology Physician · Newport Beach, CA

Donald Robert Abrahm, M.D. is a gastroenterology physician with a practice address in Newport Beach, California, and NPI 1215022405, issued on Oct 4, 2006. Check the license (California G51196, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1215022405
Name
Donald Robert Abrahm
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
G51196 CA
Self-reported in NPPES; status is on the state search
Practice location
1525 Superior Avenue, Newport Beach, CA 92663
Phone
(949) 631-2670
Enumerated
Oct 4, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(949) 631-7137
Medicare enrollment
Enrolled (PECOS I20081001000013); accepts Medicare assignment
Medical or professional school
University Of California, San Francisco School Of Medicine, 1980
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Donald Robert Abrahm in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license G51196
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

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2.5 times the Medicare Part D claims of the average gastroenterology physician in 2024

2,007 Medicare Part D claims for 551 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D.

  1. Donald Abrahm2,007
  2. Specialty average811

Most prescribed

  1. Pantoprazole Sodium696 claims
  2. Linzess143 claims
  3. Dicyclomine Hcl119 claims
  4. Balsalazide Disodium75 claims
  5. Mesalamine69 claims
  6. Famotidine68 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 65.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score61.5
  2. Costout of 100 · 30%80.6
  3. Promoting interoperabilityout of 100 · 25%91.0
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,453.94

80 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Donald Abrahm$2,453.94
  2. Specialty average$5,015.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Donald R. Abrahm M.D., IncNewport Beach, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Donald Robert Abrahm among 2,140 gastroenterology physician records in California

Donald Robert Abrahm, M.D. is one of 2,140 gastroenterology physician records with a practice address in California. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 48% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated1980 · median 2002 among the 1,538 with a school on file
  • Record last updated2007 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in California

There are 2,140 gastroenterology physician records in California.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Kenneth J Chang, MDNewport Beach, CA 926631518047604
  2. Parminder Dhaliwal, MDNewport Beach, CA 926631811913759
  3. Ravi Kankotia, M.D.Newport Beach, CA 926631275996613
  4. Paul Korc, MD, INC.Newport Beach, CA 926631922243161
  5. Christopher Lee, MDNewport Beach, CA 926631629257035
  6. Glenn Madokoro, M.D.Newport Beach, CA 926631639255060
  7. Homeira Mehrabian, MDNewport Beach, CA 926631699972844
  8. Phuong Nguyen, M.D.Newport Beach, CA 926631801838750

Common questions

What is Donald Robert Abrahm, M.D.'s NPI number?

Donald Robert Abrahm, M.D.'s National Provider Identifier (NPI) is 1215022405, issued on Oct 4, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Donald Robert Abrahm, M.D. located?

The NPPES record lists a practice address at 1525 Superior Avenue, Newport Beach, CA, 92663. Phone: (949) 631-2670. Providers update this record themselves, so call before visiting.

How can I verify Donald Robert Abrahm, M.D.'s license?

NPPES lists California license number G51196, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Donald Robert Abrahm, M.D. prescribe under Medicare Part D?

In 2024, Donald Robert Abrahm, M.D. had 2,007 Medicare Part D claims for 551 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Donald Robert Abrahm, M.D.'s MIPS final score?

The 2023 MIPS final score is 65.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.