BRIAN A. ADAMS MD
NPI 1013927904
Family Medicine in Fort Wayne, IN

Q: What is Brian Adams's NPI number?

The NPI number for Brian Adams is 1013927904. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Brian Adams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Adams was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment

87.95/100

CMS Quality Rating

2512 E DUPONT RD STE 200, FORT WAYNE, IN 46825(260) 458-3760(260) 458-3761 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2020, Sep 23, 2020, Jan 16, 2017 and 1 more (4 updates tracked since 2017).

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About Brian A. Adams Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN A. ADAMS MD (NPI 1013927904) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01062867A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013927904

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRIAN A. ADAMSCredential: MD

Location Address2512 E DUPONT RD STE 200Fort Wayne, IN 46825-1609

Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520

Phone(260) 458-3760

Fax(260) 458-3761

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 9, 2006

Last NPPES UpdateDecember 10, 20204 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1013927904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01062867A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2512 E DUPONT RD STE 200, Fort Wayne, IN 46825

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Other Identifiers 2

Other000000520365Blue Cross Blue Shield

Medicaid200844730IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian A. Adams Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678678448

PECOS Enrollment IDI20070424000178

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

271 services146 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

182 services95 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

131 services131 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

92 services87 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services25 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

28 services24 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150112

Location2400 E 17th StColumbus, IN 47201 · Bartholomew County

Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150150

Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.04

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers28 claims50 services$6.18 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

1 supplier26 claims174 services$1.92 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier32 claims32 services$4.31 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$8.66 avg. paid by Medicare

Ostomy clamp, any type, replacement only, each A4363

DME-Orthotic Devices · category DF010N

1 supplier11 claims19 services$2.05 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier18 claims2,160 services$0.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY C. DOWLING MD

Family Medicine