DR. RICHARD ANTHONY ABALLAY (MD) – General Practice Physician, NPI 1063577377

DR. RICHARD ANTHONY ABALLAY (MD) is a healthcare provider. based in Lewisburg, Tennessee. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ML002796 (PA). The NPI Number for DR. RICHARD ANTHONY ABALLAY (MD) is 1063577377

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD ANTHONY ABALLAY (MD)
NPI
1063577377
Phone
(931) 270-9729
Address
529 W COMMERCE ST
Enumeration Date
27 December 2006
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6208046100
Graduation Year
2005 (21 years ago)
PAC ID
4082615166
Group Practice PAC ID
4486565181
Professional Enrollment ID
I20251031001576
Address ID
KS675503042LA522XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness75
Years active:19State licenses:5Digital endpointsOther names

111 GENERAL PRACTICE in TN

Loading map...

Provider Addresses for DR. RICHARD ANTHONY ABALLAY (MD)

  • 529, West Commerce Street, Marshall Heights, Lewisburg, Marshall County, Tennessee, 37091, United States

    LEWISBURG, TN 370913219

    Phone: (931) 270-9729

    Type: Location

  • 211, High Street, Chapel Hill, Marshall County, Middle Tennessee, Tennessee, 37034, United States

    CHAPEL HILL, TN 370343323

    Phone: (646) 260-5237

    Type: Mailing

  • 529 W Commerce St

    Lewisburg, TN 370913219

    Phone: (931) 270-9729

    Type: Location

  • 1500 E Downing St Ste 214

    Tahlequah, OK 744643379

    Phone: (918) 431-0202

    Type: Location

  • PO BOX 751

    HULBERT, OK 744410751

    Phone: (918) 772-3390

    Fax: (918) 772-2244

    Type: Mailing

  • 1500 E DOWNING ST STE 214

    TAHLEQUAH, OK 744643379

    Phone: (918) 431-0202

    Type: Location

  • 620 W 8TH ST

    KINSLEY, KS 675472329

    Phone: (620) 659-3621

    Fax: (620) 659-3810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Exact Sciences Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20080826000835IGeneral PracticeTNTBD
I20210622002805IGeneral PracticeOKTBD
I20221019000941IGeneral PracticeKSTBD
I20251031001576IGeneral PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37091)

Loading plans...

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: 4486565181View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
Physician AssistantKS
Clinical Social WorkerKS
Nurse PractitionerKS
Clinical Social WorkerKS
Nurse PractitionerKS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify DR. RICHARD ANTHONY ABALLAY (MD) with an NPI only?
You can start verification with NPI 1063577377 for DR. RICHARD ANTHONY ABALLAY (MD), then check state licensing separately.
Does the file indicate DR. RICHARD ANTHONY ABALLAY (MD) is practicing under active NPI?
Directory data currently reports DR. RICHARD ANTHONY ABALLAY (MD) as active.
What is DR. RICHARD ANTHONY ABALLAY (MD) best known for clinically?
Directory data describes DR. RICHARD ANTHONY ABALLAY (MD) with General Practice Physician. Clinical services aligned with this taxonomy classification.
What area does DR. RICHARD ANTHONY ABALLAY (MD) serve?
DR. RICHARD ANTHONY ABALLAY (MD)'s listing highlights Lewisburg, Tennessee; more addresses can appear in NPPES.
How many locations tie to this NPI?
7 practice locations appear in the available data.

Similar Providers

WILLIAM DONALD GIBSON (M.D.)

General Practice Physician
122 E Commerce St
NPI: 1316977812

DAVID ALFREDSON MD PC

Diagnostic Radiology Physician
529 W COMMERCE ST
NPI: 1487771200

DAVID ALFREDSON (M.D.)

Diagnostic Radiology Physician
PO BOX 2361
NPI: 1720105547