ADAM SKIDMORE NP
NPI 1104487669
Nurse Practitioner - Critical Care Medicine in Dallas, TX

Q: What is Adam Skidmore's NPI number?

The NPI number for Adam Skidmore is 1104487669. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Adam Skidmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Adam Skidmore was last updated on September 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment

9440 POPPY DR, DALLAS, TX 75218(214) 324-6100 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Adam Skidmore Np NPPES

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

ADAM SKIDMORE NP (NPI 1104487669) is an individual critical care medicine provider in Dallas, Texas, licensed in Texas (AP142274) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Mckinney, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104487669

Entity TypeIndividualMale

Primary Taxonomy363LC0200X

Provider Legal NameADAM SKIDMORECredential: NP

Location Address9440 POPPY DRDallas, TX 75218-3652

Mailing Address2745 Indian Oak DrMckinney, TX 75071-8244 · (469) 430-3804

Phone(214) 324-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 25, 2019

Last NPPES UpdateSeptember 17, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1104487669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in TX · AP142274

9440 POPPY DR, Dallas, TX 75218

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare 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

Adam Skidmore Np 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 ID2769816081

PECOS Enrollment IDI20191219001402

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

28 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670082

Location5252 West University DriveMc Kinney, TX 75071 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75218 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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.

FORTRESS EMERGENCY PHYSICIANS, PPLC

Emergency Medicine