JONATHAN L ABBOTT (M.D.) – Obstetrics & Gynecology Physician, NPI 1730455775
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
630 OBSTETRICS/GYNECOLOGY in KY
Provider Addresses for JONATHAN L ABBOTT (M.D.)
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone: (253) 968-3393
Type: Mailing
650 JOEL DR
FORT CAMPBELL, KY 42223
Phone: (270) 798-8151
Type: Location
102 W 18TH ST
HOPKINSVILLE, KY 422401961
Phone: (270) 707-2100
Fax: (270) 707-2103
Type: Mailing
1717 HIGH ST STE 4B
HOPKINSVILLE, KY 422406300
Phone:
Type: Mailing
251 Hopkinsville Rd
Russellville, KY 422761281
Phone: (270) 887-9058
Fax: (270) 726-2995
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $12,546.
Total Amount is formed as General ($12,546) + Research ($0) + Ownership ($0) = $12,546.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Biogen, Inc. ($11,729).
Total Amount
$12,546
General + Research + Ownership
Payments
48
Total payment records
General Amount
$12,546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $11,729 |
| Aspira Women's Health Inc | $311 |
| Exeltis, USA Inc. | $82 |
| Organon LLC | $77 |
| Sumitomo Pharma America, Inc. | $72 |
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: 2019-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190826002517 | I | Obstetrics/Gynecology | KY | TBD |
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.
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 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Physician Assistant | TN | |
| Internal Medicine | KY | |
| Internal Medicine | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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