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ADAM M FRANKS MD
NPI 1063473072
Family Medicine in Huntington, WV

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
1600 MEDICAL CENTER DR, SUITE 1500, HUNTINGTON, WV 25701(304) 691-1100(304) 691-1183 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adam M Franks Md NPPES

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

ADAM M FRANKS MD (NPI 1063473072) is an individual family medicine provider in Huntington, West Virginia, licensed in West Virginia (20377) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and maintains a secondary practice location in Lavalette.

NPPES Registry Identity

NPI1063473072
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM M FRANKSCredential: MD
Location Address1600 MEDICAL CENTER DR, SUITE 1500Huntington, WV 25701-3656
Mailing Address1600 Medical Center Dr, Suite 1500Huntington, WV 25701-3656 · (304) 691-1100 · Fax (304) 691-1183
Phone(304) 691-1100
Fax(304) 691-1183
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1999
Enumeration DateMarch 29, 2006
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1063473072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 20377
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.
1600 MEDICAL CENTER DR, Huntington, WV 25701
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Secondary Practice Location 1

Location 14600 Route 152Lavalette, WV 25535-9702 · Phone (304) 697-9460

Other Identifiers 3

Medicaid1812317000WV
Medicaid64053291KY
Medicaid2334969OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam M Franks 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 ID5799707139
PECOS Enrollment IDI20051228000465
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Adam Franks reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians & Surgeons, Inc
Same address
Internal Medicine
1600 MEDICAL CENTER DRIVE
Huntington, WV 25701
  • Reassigned Medicare billing, West Virginia enrollment
  • 525 clinicians in this Medicare group
NPI 1730183286 (304) 691-8722
Point Pleasant Physician Billing Services
36 mi
Multi-Specialty
2520 VALLEY DR
Pt Pleasant, WV 25550
  • Reassigned Medicare billing, West Virginia enrollment
  • 82 clinicians in this Medicare group
NPI 1396798898 (304) 675-4340
M Medical Group, Inc.
301 mi
Critical Care Medicine
9106 PINE VIEW LN
Clinton, MD 20735
  • Reassigned Medicare billing, West Virginia enrollment
  • 13 clinicians in this Medicare group
NPI 1780056168 (301) 856-2930

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
104 services57 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
89 services47 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.
32 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services21 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.
20 services16 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.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

KATHERINE STEELE MD
Family Medicine
1600 MEDICAL CENTER DR, SUITE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1100
MIKAYLA MYERS MD
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
Cabell County (304) 691-1824
DANIELL COWELL MD
Psychiatry & Neurology (Psychiatry)
1600 MEDICAL CENTER DR, SUITE B500
HUNTINGTON, WV 25701
Cabell County (304) 691-1500
DR. THOMAS H DOUGHERTY MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 MEDICAL CENTER DR, SUITE B510
HUNTINGTON, WV 25701
Cabell County (304) 691-8850
ANDREW MCFALL
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
Cabell County (304) 691-1165
SHELLEY ST CLAIR MD
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
Cabell County (304) 691-1824
SHERBANO SARFARAZ KHAN MD
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
Cabell County (304) 691-1824
SHERRIE N MIRANDA MD
Pediatrics
1600 MEDICAL CENTER DR, SUITE 3500
HUNTINGTON, WV 25701
Cabell County (304) 691-1300

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 Franks's NPI number?

The NPI number for Adam Franks is 1063473072. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Adam Franks located?

Adam Franks practices at 1600 Medical Center Dr Suite 1500, Huntington, WV 25701. The listed phone number is (304) 691-1100.

What is Adam Franks's specialty?

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

Is Adam Franks enrolled in Medicare?

Yes. Adam Franks 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.

Which organizations bill Medicare for Adam Franks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Franks reassigns Medicare benefits to 3 organizations: University Physicians & Surgeons, Inc (Huntington, WV), Point Pleasant Physician Billing Services (Pt Pleasant, WV) and M Medical Group, Inc. (Clinton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Franks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Franks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Adam Franks 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 Franks affiliated with any hospitals?

According to CMS data, Adam Franks is affiliated with St Mary's Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Adam Franks was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.