JOHN B ADAMS II MD NPI 1013081678
Urology in Beaufort, SC

About JOHN B ADAMS II MD

John Adams is a provider established in Beaufort, South Carolina and his medical specialization is Urology with more than 35 years of experience. He graduated from Emory University School Of Medicine in 1988. The NPI number of John Adams is 1013081678 and was assigned on November 2006. The practitioner's primary taxonomy code is 208800000X with license number 21437 (SC). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1013081678
Provider Name JOHN B ADAMS II MD
Location Address1055 RIBAUT RD SUITE 10 BEAUFORT, SC 29902
Location Phone(843) 524-7607
Mailing Address1055 RIBAUT RD SUITE 10 BEAUFORT, SC 29902
GenderMale
NPI Entity TypeIndividual
Medical School NameEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1988
Is Sole Proprietor?No
Enumeration Date11-17-2006
Last Update Date02-02-2010

John Adams 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.

John Adams 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 Beaufort County Memorial Hospital, Hampton Regional Medical Center, Hilton Head Regional Medical Center, St Joseph's Hospital - Savannah and Prisma Health Greenville Memorial Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.7, 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: $32.11 for a new patient copayment and $17.43 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 Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.21437
License StateSC
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Accepted Insurance

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

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

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

Business Address

JOHN B ADAMS II MD
1055 RIBAUT RD
SUITE 10
BEAUFORT, SC
ZIP 29902
Phone: (843) 524-7607
Fax: (843) 524-6737

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Mailing Address

JOHN B ADAMS II MD
1055 RIBAUT RD
SUITE 10
BEAUFORT, SC
ZIP 29902
Phone: (843) 524-7607
Fax: (843) 524-6737


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 ID1052507803
PECOS Enrollment IDI20110223000217
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 29902 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.43 $169.76 $128.46
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.85 $42.44 $32.11
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.06 $138.69 $69.73
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.67 $17.43

* 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% 90.6
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% 98
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% 40
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% 74.6
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 - 92.7
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.

  • 2691Urinalysis, manual test (HCPCS:81002)
  • 402Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 318Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 36Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 31Biopsy of prostate gland (HCPCS:55700)
  • 30Ultrasound of rectum (HCPCS:76872)

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. John Adams is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BEAUFORT COUNTY MEMORIAL HOSPITAL955 RIBAUT RD
BEAUFORT, SC 29902
(843) 522-5200Acute Care Hospitals420067
HAMPTON REGIONAL MEDICAL CENTER595 WEST CAROLINA AVENUE
VARNVILLE, SC 29944
(803) 943-2771Acute Care Hospitals420072
HILTON HEAD REGIONAL MEDICAL CENTER25 HOSPITAL CENTER BLVD
HILTON HEAD ISLAND, SC 29925
(843) 681-6122Acute Care Hospitals420080
ST JOSEPH'S HOSPITAL - SAVANNAH11705 MERCY BOULEVARD
SAVANNAH, GA 31419
(912) 819-4100Acute Care Hospitals110043
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL701 GROVE ROAD
GREENVILLE, SC 29605
(864) 455-7000Acute Care Hospitals420078

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 Identifier Issuer
2573767323OTHER (01)SCBLUE SHIELD
571087172OTHER (01)SCAENTA
571087172OTHER (01)SCBLUE CROSS
F889476616MEDICARE ID-TYPE UNSPECIFIED (04)SCMEDICARE
F88947MEDICARE UPIN (02)SC

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.
1013081678
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023082614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 6 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1013081678 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750385274INTERNAL MEDICINE HEALTHCARE, P.A.
Organization
Internal Medicine1055 RIBAUT RD STE 10
BEAUFORT, SC 29902
(843) 524-2100
1174595961DR. HOLTON TIMBERLAKE PEARCE JR. MD
Individual
Surgery1055 RIBAUT RD STE 30
BEAUFORT, SC 29902
(843) 524-8171
1780656595DR. EDWARD PERRY BURRUS III MD
Individual
Surgery1055 RIBAUT RD STE 30
BEAUFORT, SC 29902
(843) 524-8171
1538132931DR. JAMES CHADWICK TOBER MD
Individual
Surgery (Vascular Surgery)1055 RIBAUT RD STE 30
BEAUFORT, SC 29902
(843) 524-8171
1811960214DR. RONALD S WISE MD
Individual
Surgery1055 RIBAUT RD STE 30
BEAUFORT, SC 29902
(843) 524-8171
1821062423DR. GORDON E KRUEGER MD
Individual
Surgery1055 RIBAUT RD STE 30
BEAUFORT, SC 29902
(843) 524-8171
1881768430 LOUIS F PLZAK III MD
Individual
Urology1055 RIBAUT RD SUITE 10
BEAUFORT, SC 29902
(843) 524-7607
1659446219PRIMECARE HEALTH CENTER PA
Organization
Specialist1055 RIBAUT RD SUITE 10
BEAUFORT, SC 29902
(843) 524-2100
1477612703COASTAL CAROLINA UROLOGY GROUP LLC
Organization
Urology1055 RIBAUT RD SUITE 10
BEAUFORT, SC 29902
(843) 524-7607
1972906626 NANCY ELIZABETH THOMAS PA-C
Individual
Physician Assistant (Surgical)1055 RIBAUT RD
BEAUFORT, SC 29902
(843) 524-8171
1528101664COASTAL CAROLINA UROLOGY GROUP, LLC
Organization
Urology1055 RIBAUT RD SUITE 10
BEAUFORT, SC 29902
(843) 524-7607
1962948679 CAMERON PAIGE PRICE PA-C
Individual
Physician Assistant1055 RIBAUT RD SUITE 30
BEAUFORT, SC 29902
(843) 524-8171

Frequently Asked Questions

What is John Adams II MD NPI number?

The NPI number assigned to John Adams II MD is 1013081678, registered as an "individual" on November 17, 2006

Where is John Adams II MD located?

The provider is located at 1055 Ribaut Rd Suite 10 Beaufort, Sc 29902 and the phone number is (843) 524-7607

Which is John Adams II MD specialty?

The provider's speciality is Urology

How many years of experience does John Adams II MD have?

The provider has more than 35 years of experience. He graduated from Emory University School Of Medicine in 1988.

What insurance does John Adams II MD accept?

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

Is John Adams II MD 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 John Adams II MD?

Medicare beneficiaries should expect a typical cost of $128.46 with an average copayment of $32.11 for new patient appointments. Established patients should expect a typical charge of $69.73 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by John Adams II MD?

The most common procedures or services performed by this practitioner are: Urinalysis, manual test, Ultrasound measurement of bladder capacity after voiding, Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope, Ultrasonic guidance imaging supervision and interpretation for insertion of needle, Biopsy of prostate gland and Ultrasound of rectum.

Is John Adams II MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: BEAUFORT COUNTY MEMORIAL HOSPITAL, HAMPTON REGIONAL MEDICAL CENTER, HILTON HEAD REGIONAL MEDICAL CENTER, ST JOSEPH'S HOSPITAL - SAVANNAH and PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL. 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 John Adams II MD was last updated on November 17, 2006. 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]