MAXWELL B ABBOTT (M.D.) – Diagnostic Radiology Physician, NPI 1174535090

MAXWELL B ABBOTT (M.D.) is a healthcare provider. based in Salem, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 167061 (OR). The NPI Number for MAXWELL B ABBOTT (M.D.) is 1174535090

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MAXWELL B ABBOTT (M.D.)
NPI
1174535090
Phone
(503) 399-1262
Address
2925 RYAN DR SE
Enumeration Date
12 August 2006
Last Update Date
22 July 2014

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5034137800
Graduation Year
2002 (24 years ago)
PAC ID
9234126814
Group Practice PAC ID
3577923499
Professional Enrollment ID
I20140702001436
Address ID
OR973811917SI342XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for MAXWELL B ABBOTT (M.D.)

  • 2925, Ryan Drive Southeast, Salem, Marion County, Oregon, 97301, United States

    SALEM, OR 973019687

    Phone: (503) 399-1262

    Fax: (503) 371-0777

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140702001436IDiagnostic RadiologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml76921$0
71045X-ray of chest, 1 view234215$0
71046X-ray of chest, 2 views225216$0
70450Ct scan head or brain without contrast171167$0
77067Screening mammography125125$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

MAXWELL B ABBOTT (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR73110X-ray of wrist, minimum of 3 views2121
DIAGNOSTIC RADIOLOGYOR73562X-ray of knee, 3 views4440
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast137133
DIAGNOSTIC RADIOLOGYOR78815Nuclear medicine study with CT imaging skull base to mid-thigh1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577923499View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyAZ
Diagnostic RadiologyOR
Diagnostic RadiologyUT
Diagnostic RadiologyOR
Diagnostic RadiologyIN
Diagnostic RadiologyNV
Diagnostic RadiologyOR
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

What number should I use to identify MAXWELL B ABBOTT (M.D.) for billing?
Administrative and clinical systems typically use NPI 1174535090 for MAXWELL B ABBOTT (M.D.).
Should I treat MAXWELL B ABBOTT (M.D.) as an active provider?
Patients and plans typically see MAXWELL B ABBOTT (M.D.) as active in the national extract.
What type of care does MAXWELL B ABBOTT (M.D.) provide?
MAXWELL B ABBOTT (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is MAXWELL B ABBOTT (M.D.) tied to Salem, Oregon?
If you are local to Salem, Oregon, MAXWELL B ABBOTT (M.D.) may be relevant to your search.
Can I export MAXWELL B ABBOTT (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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