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DR. RONALD N ADLER M.D.
NPI 1083697841
Family Medicine in Worcester, MA

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
279 LINCOLN ST, WORCESTER, MA 01605(508) 334-8830 Get Directions Write a Review

NPPES record last updated: October 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ronald N Adler M.d. NPPES

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

DR. RONALD N ADLER M.D. (NPI 1083697841) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (73316) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of University Of Massachusetts Medical School (1989).

NPPES Registry Identity

NPI1083697841
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RONALD N ADLERCredential: M.D.
Location Address279 LINCOLN STWorcester, MA 01605-2120
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 334-8830
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1989
Enumeration DateNovember 25, 2005
Last NPPES UpdateOctober 24, 2020
NPPES CertifiedOctober 24, 2020
✔ NPI 1083697841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 73316
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.

279 LINCOLN ST, Worcester, MA 01605
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Other Identifiers 1

Medicaid3197140MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Ronald N Adler M.d. 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 ID2264470061
PECOS Enrollment IDI20050421001179
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 4

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.
172 services107 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.
47 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services24 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims42 services$5.68 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$23.57 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.

DR. GERALD S GLEICH M.D.
Family Medicine
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8830
F. ALEXANDER BLOUNT ED.D.
Psychologist (Clinical)
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8830
MS. JOAN DOLAN NP
Nurse Practitioner
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8830
MRS. MARGARET M APURA RD, LDN
Dietitian, Registered
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8840
DR. BENJAMIN F MILLER IV PSYD
Counselor
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1407
VAISHALI M PATEL M.D.
Family Medicine
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
MS. EILEEN RAFFERTY NP
Nurse Practitioner
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8847
DANIEL WEMPLE M.D.
Family Medicine
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000

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 Ronald Adler's NPI number?

The NPI number for Ronald Adler is 1083697841. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Ronald Adler located?

Ronald Adler practices at 279 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-8830.

What is Ronald Adler's specialty?

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

Is Ronald Adler enrolled in Medicare?

Yes. Ronald Adler 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 Ronald Adler accept?

Health plans from Anthem Blue Cross and Blue Shield list Ronald Adler 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 Ronald Adler affiliated with any hospitals?

According to CMS data, Ronald Adler is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Ronald Adler was last updated on October 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.