DR. ADAM NATHAN HERTLEIN M.D.
NPI 1114183878
Internal Medicine in Philadelphia, PA

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
333 COTTMAN AVE, PHILADELPHIA, PA 19111(215) 728-2844(215) 214-1425 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam Nathan Hertlein M.d. NPPES

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

DR. ADAM NATHAN HERTLEIN M.D. (NPI 1114183878) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD462425) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114183878
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADAM NATHAN HERTLEINCredential: M.D.
Location Address333 COTTMAN AVEPhiladelphia, PA 19111
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 728-2844 · Fax (215) 214-1425
Fax(215) 214-1425
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2008
Enumeration DateAugust 1, 2008
Last NPPES UpdateNovember 7, 2019
NPI 1114183878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD462425 Licensed in OH · 57.014546
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
333 COTTMAN AVE, Philadelphia, PA 19111

Secondary Practice Locations 2

Location 1333 Cottman AvePhiladelphia, PA 19111 · Phone (215) 728-2844 · Fax (215) 214-1425
Location 24881 Sugar Maple Dr, 88MDG/SGOMWright Patterson AFB, OH 45433-5546 · Phone (937) 257-9926

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 Nathan Hertlein 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 ID7517112808
PECOS Enrollment IDI20171221000833
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services29 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111
Surgery (Surgical Oncology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Internal Medicine
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Pathology (Anatomic Pathology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Radiology (Diagnostic Radiology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111

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 Hertlein's NPI number?

The NPI number for Adam Hertlein is 1114183878. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Adam Hertlein located?

Adam Hertlein practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-2844.

What is Adam Hertlein's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adam Hertlein enrolled in Medicare?

Yes. Adam Hertlein 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.

Is Adam Hertlein affiliated with any hospitals?

According to CMS data, Adam Hertlein is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Hertlein was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.