2026 NPPES data Family Medicine Physician NPI 1689037673 M.D.
Verify on CMS →

KEVIN ABRAHAM, M.D.

Family Medicine Physician in WORCESTER, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 245 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$868.58
49 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KEVIN ABRAHAM, M.D. is a Family Medicine Physician ([object Object]) practicing in WORCESTER, Massachusetts with a Medicare Part D prescribing footprint of 3K claims across 245 beneficiaries — 11% brand-name prescribing . Industry payments of $868.58 across 49 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KEVIN ABRAHAM, M.D. filed 3,027 Medicare Part D claims in 2023 across WORCESTER, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KEVIN ABRAHAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KEVIN ABRAHAM, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 03/29/2016

NPI 1689037673

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,027 11% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Massachusetts

How Family Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Family Medicine Physician share within Massachusetts

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KEVIN ABRAHAM, M.D. is a Family Medicine Physician provider practicing in WORCESTER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1689037673. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KEVIN ABRAHAM, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 26 QUEEN ST, WORCESTER, MA, 01610, with a listed phone of (508) 334-1000. NPI 1689037673 was issued on 03/29/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABRAHAM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,027 prescription claims written by this provider, covering 245 Medicare beneficiaries and totaling roughly $310K in drug spend, split 11% brand-name and 89% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

26 QUEEN ST
WORCESTER, MA 01610

Provider Details

NPI 1689037673
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 03/29/2016

Hospital and facility affiliations

Facilities where KEVIN ABRAHAM, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CATALYST PHYSICIAN GROUP - NTX, PLLC
ALLEN, TX
HEALTHTEXAS PROVIDER NETWORK
DALLAS, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KEVIN ABRAHAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$869

Largest payer

Novo Nordisk Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to KEVIN ABRAHAM, M.D.. To verify KEVIN ABRAHAM, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KEVIN ABRAHAM, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,027 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,027
Total Claims
$310K
Total Drug Cost
245
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,957
Total Day Supply
203,975
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$257K
Generic Drug Cost
$52K
Antibiotic Claims
72

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.43
Gender Split
47% female / 53% male
Age Distribution
<65: 29, 65-74: 146, 75-84: 59, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
218
Amlodipine Besylate
172
Rosuvastatin Calcium
148
Lisinopril
126
Levothyroxine Sodium
101
Metformin Hcl
96
Montelukast Sodium
93
Losartan Potassium
88
Tamsulosin Hcl
78
Metoprolol Succinate
77

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How KEVIN ABRAHAM, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

KEVIN ABRAHAM, M.D.'s 3,027 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as ABRAHAM.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN ABRAHAM, M.D.'s specialty?
KEVIN ABRAHAM, M.D. specializes in Family Medicine Physician and practices in WORCESTER, Massachusetts. Credentials: M.D..
How much does KEVIN ABRAHAM, M.D. prescribe under Medicare Part D?
In 2023, KEVIN ABRAHAM, M.D. wrote 3,027 Medicare Part D claims totaling $310K in drug costs for 245 beneficiaries.
Where is KEVIN ABRAHAM, M.D. located?
KEVIN ABRAHAM, M.D. is located at 26 QUEEN ST, WORCESTER, MA, 01610. Phone: (508) 334-1000.
What is KEVIN ABRAHAM, M.D.'s NPI number?
KEVIN ABRAHAM, M.D.'s National Provider Identifier (NPI) is 1689037673, issued on 03/29/2016.
Does KEVIN ABRAHAM, M.D. prescribe more brand-name or generic drugs?
KEVIN ABRAHAM, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $257K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does KEVIN ABRAHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KEVIN ABRAHAM, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN ABRAHAM, M.D. accept Medicare?
KEVIN ABRAHAM, M.D. appears in CMS Medicare data with 3,027 Part D claims and 245 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN ABRAHAM, M.D.'s credentials?
KEVIN ABRAHAM, M.D.'s NPI is 1689037673 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology