NPPES file of Aug 9, 2026

Pratibha Mary Abraham, MD

Endocrinology, Diabetes & Metabolism Physician · Fenton, MO

Pratibha Mary Abraham, MD is an endocrinology, diabetes & metabolism physician with a practice address in Fenton, Missouri, and NPI 1336589118, issued on Jun 26, 2013. Check the license (Missouri 2018032435, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1336589118
Name
Pratibha Mary Abraham
Credential
MD
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License number
2018032435 MO
Self-reported in NPPES; status is on the state search
Practice location
1011 Bowles Ave Ste 300, Fenton, MO 63026
Phone
(636) 496-5048
Enumerated
Jun 26, 2013
Record last updated
Nov 3, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20181229000090); accepts Medicare assignment
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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Also registered at 1011 Bowles Ave Ste 300

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Zain Ali, M.D.Interventional Cardiology Physician1518319656
  2. Laura Allen, N.P.Adult Health Nurse Practitioner1760878839
  3. Natalie Babb, FNP-BCFamily Nurse Practitioner1700664901
  4. Aaron Bornstein, D.O.Surgery Physician1326485897
  5. Connie Hoehn Graves, NP-CAdult Health Nurse Practitioner1801010251
  6. Sarah King-Glotfelty, M.D.Pediatrics Physician1740543099

Verify Pratibha Mary Abraham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license 2018032435
    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 Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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32% more Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024

3,469 Medicare Part D claims for 529 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 46% of claims.

  1. Pratibha Abraham3,469
  2. Specialty average2,630

Most prescribed

  1. Levothyroxine Sodium446 claims
  2. Glipizide Er303 claims
  3. Metformin Hcl175 claims
  4. Metformin Hcl Er167 claims
  5. Ozempic162 claims
  6. Mounjaro147 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.

Industry payments in 2024: $48.55

3 payments; by number, the most common kind was food and beverage; the largest payer was Insulet Corporation. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Pratibha Abraham$48.55
  2. Specialty average$5,742.15

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. Ssm Medical Group IncFenton, MO

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

Pratibha Mary Abraham among 206 endocrinology, diabetes & metabolism physician records in Missouri

Pratibha Mary Abraham, MD is one of 206 endocrinology, diabetes & metabolism physician records with a practice address in Missouri. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 76% of them.

  • NPI issued2013 · 76% of these records are older, 20% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2010 · median 2003 among the 148 with a school on file
  • Record last updated2020 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in Missouri

There are 206 endocrinology, diabetes & metabolism physician records in Missouri.

The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes

  1. Nirandon Wongsurawat, MDFenton, MO 630261376656116
  2. Amber Pinson-Hilkemeyer, DOFestus, MO 630281821659335
  3. Shrenika Reddy, M.D.Festus, MO 630281801258207
  4. Vaishaliben Ahir, MDChesterfield, MO 630171376706861
  5. Karen Chang-Chen, MDChesterfield, MO 630171508916495
  6. Edwin Cunningham, MDChesterfield, MO 630171538267844
  7. Norman Fishman, M.D.Chesterfield, MO 630171528086659
  8. Rachel Fishman Oiknine, M.D.Chesterfield, MO 630171003840349

Common questions

What is Pratibha Mary Abraham, MD's NPI number?

Pratibha Mary Abraham, MD's National Provider Identifier (NPI) is 1336589118, issued on Jun 26, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Pratibha Mary Abraham, MD located?

The NPPES record lists a practice address at 1011 Bowles Ave Ste 300, Fenton, MO, 63026. Phone: (636) 496-5048. Providers update this record themselves, so call before visiting.

How can I verify Pratibha Mary Abraham, MD's license?

NPPES lists Missouri license number 2018032435, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Pratibha Mary Abraham, MD prescribe under Medicare Part D?

In 2024, Pratibha Mary Abraham, MD had 3,469 Medicare Part D claims for 529 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

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.