KENT MARC-JOSEF ADLER M.D. NPI 1013074632
Internal Medicine - Hematology & Oncology in San Mateo, CA

About KENT MARC-JOSEF ADLER M.D.

Kent Adler is an internist established in San Mateo, California and his medical specialization is Internal Medicine with a focus in hematology & oncology with more than 39 years of experience. He graduated from University Of California, San Francisco School Of Medicine in 1984. The NPI number of Kent Adler is 1013074632 and was assigned on January 2007. The practitioner's primary taxonomy code is 207RH0003X with license number G60386 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013074632
Provider Name KENT MARC-JOSEF ADLER M.D.
Location Address218 DE ANZA BLVD SAN MATEO, CA 94402
Location Phone(650) 341-9131
Mailing Address218 DE ANZA BLVD SAN MATEO, CA 94402
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year1984
Is Sole Proprietor?No
Enumeration Date01-02-2007
Last Update Date07-08-2007

An internist like Kent Marc-josef Adler M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Kent Adler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Kent Adler is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Peninsula Medical Center, Ucsf Medical Center, Sequoia Hospital and Stanford Health Care.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $51.59 for a new patient copayment and $30.64 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RH0003X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHematology & Oncology
License No.G60386
License StateCA
Taxonomy DescriptionAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

KENT MARC-JOSEF ADLER M.D.
218 DE ANZA BLVD
SAN MATEO, CA
ZIP 94402
Phone: (650) 341-9131
Fax: (650) 341-9135

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Mailing Address

KENT MARC-JOSEF ADLER M.D.
218 DE ANZA BLVD
SAN MATEO, CA
ZIP 94402
Phone: (650) 341-9131
Fax: (650) 341-9135


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9830251925
PECOS Enrollment IDI20081226000036
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 94402 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99205
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$69.92 $206.38 $206.38
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.48 $51.59 $51.59
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$22.97 $169.96 $122.57
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.74 $42.49 $30.64

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 30
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 3031Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 345Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • 278Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 276Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 274Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour (HCPCS:96367)
  • 100Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 51Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kent Adler is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PENINSULA MEDICAL CENTER1501 TROUSDALE DRIVE
BURLINGAME, CA 94010
(650) 696-5400Acute Care Hospitals50007
UCSF MEDICAL CENTER505 PARNASSUS AVE, BOX 0296
SAN FRANCISCO, CA 94143
(415) 353-2733Acute Care Hospitals50454
SEQUOIA HOSPITAL170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
(650) 367-5551Acute Care Hospitals50197
STANFORD HEALTH CARE300 PASTEUR DRIVE
STANFORD, CA 94305
(650) 723-5708Acute Care Hospitals50441

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F01287MEDICARE UPIN (02)CA
00G603860MEDICARE ID-TYPE UNSPECIFIED (04)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013074632
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202307866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 8 + 6 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1013074632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487637310DR. KAREN CHEE M.D.
Individual
Internal Medicine (Hematology & Oncology)218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1427144237MRS. SUZANNE HEIDI KEENAN APRN
Individual
Nurse Practitioner218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1740347350 JENNIFER A BROWN M.D.
Individual
Internal Medicine (Hematology & Oncology)218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1528125135 BRADLEY CAMERON EKSTRAND M.D., PH.D.
Individual
Internal Medicine (Hematology & Oncology)218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1932242062DR. JELENA M KAO MD
Individual
Internal Medicine (Hematology & Oncology)218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1144345414 DONALD TIMOTHY SCHAUKOWITCH N.P.
Individual
Nurse Practitioner (Family)218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1710044482 ANGELA M LAFFAN NP
Individual
Nurse Practitioner (Adult Health)218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1538390687 JANET M HALL G.N.P.
Individual
Nurse Practitioner218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1619945920CALIFORNIA CANCER CARE A MEDICAL GROUP INC
Organization
Specialist218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1780741306 JOHN VAUGHN SIEBEL M.D.
Individual
Internal Medicine (Medical Oncology)218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131
1902401250MISS SHU YI CHEN RPH
Individual
Pharmacist218 DE ANZA BLVD
SAN MATEO, CA 94402
(650) 341-9131

Frequently Asked Questions

What is Kent Adler M.D. NPI number?

The NPI number assigned to Kent Adler M.D. is 1013074632, registered as an "individual" on January 02, 2007

Where is Kent Adler M.D. located?

The provider is located at 218 De Anza Blvd San Mateo, Ca 94402 and the phone number is (650) 341-9131

Which is Kent Adler M.D. specialty?

The provider's speciality is Internal Medicine with a focus in Hematology & Oncology

How many years of experience does Kent Adler M.D. have?

The provider has more than 39 years of experience. He graduated from University Of California, San Francisco School Of Medicine in 1984.

What insurance does Kent Adler M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Kent Adler M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Kent Adler M.D.?

Medicare beneficiaries should expect a typical cost of $206.38 with an average copayment of $51.59 for new patient appointments. Established patients should expect a typical charge of $122.57 and an average copayment of 30.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Kent Adler M.D.?

The most common procedures or services performed by this practitioner are: Injection, dexamethasone sodium phosphate, 1mg, Infusion of chemotherapy into a vein up to 1 hour, Insertion of needle into vein for collection of blood sample, Complete blood cell count (red cells, white blood cell, platelets), automated test, Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention and Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour.

Is Kent Adler M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: PENINSULA MEDICAL CENTER, UCSF MEDICAL CENTER, SEQUOIA HOSPITAL and STANFORD HEALTH CARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Kent Adler M.D. was last updated on January 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]