DR. JACK ABBOUDI (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1790746162

DR. JACK ABBOUDI (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 308173 (NY). The NPI Number for DR. JACK ABBOUDI (M.D.) is 1790746162

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK ABBOUDI (M.D.)
NPI
1790746162
Phone
(800) 321-9999
Address
833 CHESTNUT ST STE 502
Enumeration Date
28 March 2006
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
8003219999
Graduation Year
1994 (32 years ago)
PAC ID
7315044310
Group Practice PAC ID
7416845318
Professional Enrollment ID
I20101115001038
Address ID
PA194681218LI400XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

193 HAND SURGERY in PA

Provider Addresses for DR. JACK ABBOUDI (M.D.)

  • 833 CHESTNUT ST STE 502

    PHILADELPHIA, PA 191074405

    Phone: (800) 321-9999

    Fax: (267) 339-3761

    Type: Mailing

  • 925 Chestnut Street

    Fifth Floor

    Philadelphia, PA 19107

    Phone: (267) 339-3500

    Fax: (215) 503-0580

    Type: Location

  • 400 Enterprise Dr

    Limerick, PA 194681218

    Phone: (800) 321-9999

    Fax: (267) 479-1321

    Type: Location

  • 650 Carnegie Blvd Ste 220A

    Malvern, PA 193550367

    Phone: (800) 321-9999

    Fax: (267) 479-1321

    Type: Location

  • 825 OLD LANCASTER RD

    BRYN MAWR, PA 190103231

    Phone: (800) 321-9999

    Fax: (267) 479-1321

    Type: Location

  • 833, Chestnut Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    SUITE 1402

    PHILADELPHIA, PA 191074414

    Phone: (800) 321-9999

    Fax: (267) 339-3761

    Type: Mailing

  • Red Earth Farm CSA drop site, 925, Chestnut Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19139, United States

    FIFTH FLOOR

    PHILADELPHIA, PA 19107

    Phone: (267) 339-3500

    Fax: (215) 503-0580

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Globus Medical, Inc. ($162).

Total Amount

$162

General + Research + Ownership

Payments

1

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Globus Medical, Inc.$162
View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-15

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
I20101115001038IHand SurgeryPATBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg689242$0
99214Established patient office or other outpatient visit, 30-39 minutes302255$0
20550Injection into tendon or ligament262162$0
99213Established patient office or other outpatient visit, 20-29 minutes240196$0
99204New patient office or other outpatient visit, 45-59 minutes235235$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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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: 7416845318View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Hand SurgeryPA
Physician AssistantPA
Physical Therapist In Private PracticePA
Sports Medicine, Family PracticeNJ
-PA
-PA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JACK ABBOUDI (M.D.)?
DR. JACK ABBOUDI (M.D.) — NPI 1790746162 — is the standard way to identify this listing.
Can I rely on DR. JACK ABBOUDI (M.D.) being an active provider?
As of the registry snapshot, DR. JACK ABBOUDI (M.D.) is marked active.
What is DR. JACK ABBOUDI (M.D.)'s primary classification?
Orthopaedic Hand Surgery Physician is the headline specialty for DR. JACK ABBOUDI (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. JACK ABBOUDI (M.D.) list a practice location?
Patients near Philadelphia, Pennsylvania may find DR. JACK ABBOUDI (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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