ADAM CUSTER MD
NPI 1114421724
Internal Medicine in Los Angeles, CA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL PLAZA STE 420, LOS ANGELES, CA 90095(310) 206-6232 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2021, Mar 19, 2018 (2 updates tracked since 2018).

About Adam Custer Md NPPES

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

ADAM CUSTER MD (NPI 1114421724) is an individual internal medicine provider in Los Angeles, California, licensed in California (A165490) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114421724
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADAM CUSTERCredential: MD
Location Address200 MEDICAL PLAZA STE 420Los Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8771
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1114421724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A165490
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.
200 MEDICAL PLAZA STE 420, Los Angeles, CA 90095

Secondary Practice Locations 4

Location 1757 Westwood PlzLos Angeles, CA 90095-8358 · Phone (310) 825-9111
Location 21225 15th StSanta Monica, CA 90404-1101 · Phone (310) 319-1234
Location 314445 Olive View DrSylmar, CA 91342-1438 · Phone (818) 364-1555
Location 411301 Wilshire BlvdLos Angeles, CA 90073-1003 · Phone (310) 478-3711

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 Custer 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 ID2062847528
PECOS Enrollment IDI20250715001811
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 Reassignment

Medicare enrollment records show Adam Custer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
211 CHURCH ST, CATH LAB
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

Internal Medicine
200 MEDICAL PLAZA STE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA STE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA STE 420
LOS ANGELES, CA 90095

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 Custer's NPI number?

The NPI number for Adam Custer is 1114421724. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Adam Custer located?

Adam Custer practices at 200 Medical Plaza Ste 420, Los Angeles, CA 90095. The listed phone number is (310) 206-6232.

What is Adam Custer's specialty?

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

Is Adam Custer enrolled in Medicare?

Yes. Adam Custer 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 organization bills Medicare for Adam Custer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Custer reassigns Medicare benefits to Saratoga Hospital (Saratoga Springs, NY). The 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 Custer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adam Custer affiliated with any hospitals?

According to CMS data, Adam Custer is affiliated with Albany Medical Center Hospital, Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Adam Custer was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.