Joseph Michael Abalos, M.D.
NPI 1215128434ActiveIndividual· Internal Medicine· Seneca, PA
Internal Medicine (M.D.) in Seneca, Pennsylvania, trained at Jc Edwards School of Medicine, Marshall University (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $259,505 for 2,439 claims, against $48,315 paid for services in 2024.
Overview
| NPI | 1215128434 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 5, 2007 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Nov 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD435729 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 231 |
|---|---|
| Services billed | 611 across 8 procedure codes |
| Paid by Medicare | $48,315 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,439 · 2,451 30-day fills |
|---|---|
| Patients | 202 |
| Total drug cost | $259,505 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | Jc Edwards School of Medicine, Marshall University |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Internal Medicine |
Medical group
- Regional Health Services IncErie, PA · 568 clinicians
Hospital affiliation
- Upmc NorthwestSeneca, PA
Other facilities
- Upmc Northwest Transitional Care UnitNursing home · Seneca, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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