DR. ADAM GUSS D.O
NPI 1043693963
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
9501 ROOSEVELT BLVD STE 501, PHILADELPHIA, PA 19114(717) 652-3000 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Adam Guss D.o NPPES

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

DR. ADAM GUSS D.O (NPI 1043693963) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT016585) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2015).

NPPES Registry Identity

NPI1043693963
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ADAM GUSSCredential: D.O
Location Address9501 ROOSEVELT BLVD STE 501Philadelphia, PA 19114-1030
Mailing Address4300 Londonderry RdHarrisburg, PA 17109-5317
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
NPI 1043693963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · OT016585
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
9501 ROOSEVELT BLVD STE 501, Philadelphia, PA 19114

Accepted 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

Dr. Adam Guss D.o 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 ID7416251319
PECOS Enrollment IDI20230705001897
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 38

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
147 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
142 services96 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
137 services84 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
136 services103 patients
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.
102 services70 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
100 services93 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD STE 501
PHILADELPHIA, PA 19114
Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD STE 501
PHILADELPHIA, PA 19114
Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD STE 501
PHILADELPHIA, PA 19114
Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD STE 501
PHILADELPHIA, PA 19114
Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD STE 501
PHILADELPHIA, PA 19114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Guss's NPI number?

The NPI number for Adam Guss is 1043693963. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Adam Guss located?

Adam Guss practices at 9501 Roosevelt Blvd Ste 501, Philadelphia, PA 19114. The listed phone number is (717) 652-3000.

What is Adam Guss's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Adam Guss enrolled in Medicare?

Yes. Adam Guss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Guss accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Adam Guss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Guss affiliated with any hospitals?

According to CMS data, Adam Guss is affiliated with Jefferson Health- Northeast and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Adam Guss was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.