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Dr. Monique Lisa Abner , MD

Plastic Surgery • Reading, PA

Active NPI 1003842170 Individual Practitioner Female Practitioner
Practice location in NPPES

640 Walnut St Fl 2
Reading, PA 196013504

Call 6103782160 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

640 Walnut St Fl 2

Reading, PA 196013504

Telephone 6103782160
Fax 6103782197
Organization at the Same NPPES Address or Phone
J M Winston Radiology Associates Inc Facility NPI 1194727040

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Wyomissing, PA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $51,184 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.

Paid by Medicare

About $40,283 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.

30-day fills

17 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$7,622 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.16 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Reading and Pennsylvania

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Abner are from 2021.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Abner are from 2021.

3 active clinicians are listed under Plastic Surgery with a practice address in Reading, PA (227 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $18.16.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX PL General $18.16

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B · Data Year 2021
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less
413 74 $155.00 $35.97
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
311 83 $170.00 $67.12
97598 Removal of tissue from wound, each additional 20.0 sq cm
104 13 $108.00 $25.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
41 41 $398.00 $135.54
11042 Removal of skin and tissue, 20.0 sq cm or less
26 11 $186.00 $60.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 19 $233.00 $99.17
17250 Application of chemical to stop tissue regrowth in wound
23 13 $159.00 $36.04
11106 Incision biopsy, first skin growth
19 14 $239.00 $57.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $247.00 $83.25

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D · Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Santyl Collagenase Clostridium Hist. 17 232 $7,622.15 —

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-04
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

License # reported to NPPES PA MD468319

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

License # reported to NPPES MD D79733

A surgeon who specializes in plastic and reconstructive surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcbs
1059R (NC)
Other Identifier United Healthcare
1341310 (NC)

Secondary Practice Locations

2603 Keiser Blvd Ste 204

Wyomissing, PA 196103356

Phone: 4846283939

2607 Keiser Blvd

Wyomissing, PA 196103326

Phone: 6107433139

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1669421541

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
📍
Updated Practice Location March 04, 2022

Registered at 640 WALNUT ST FL 2, READING, PA 196013504 (Tel: 6103782160)

📍
Updated Business Mailing Address March 04, 2022

Registered at 2500 BERNVILLE RD, READING, PA 196059453

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2022

Surgery (license number reported to NPPES: MD D79733)

📍
Updated Business Mailing Address March 29, 2021

Registered at PO BOX 13579, READING, PA 196123579 (Tel: 8462813244)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2021

Plastic Surgery (license number reported to NPPES: PA MD468319)

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NPI Profile Active December 30, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) December 30, 2015

Registered at 11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 217426710 (Tel: 2403139580)

📍
Business Mailing Address (Initial Record) December 30, 2015

Registered at 11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 217426710 (Tel: 2403139580)

👤
Provider Name / Credentials (Initial Record) December 30, 2015

Recorded as MONIQUE ABNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2015

Surgery (license number reported to NPPES: MD D79733)

🟢
Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003842170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: March 04, 2022
Sole Proprietor: No

Other Plastic Surgery Specialists in Reading

Healthcare providers in Reading

More public profiles in Pennsylvania

Directory navigation, in NPI number order.

Mailing Address

2500 Bernville Rd

Reading, PA 196059453

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.