1. Home
  2. Directory
  3. Texas
  4. Allen
  5. Orthopaedic Surgery
  6. NPI Profile

MICHAEL D ADAMS MD
NPI 1134129794
Orthopaedic Surgery in Allen, TX

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
1125 RAINTREE CIR, SUITE 100, ALLEN, TX 75013(972) 727-9995(972) 727-8350 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 20, 2019, Feb 1, 2017 (2 updates tracked since 2017).

About Michael D Adams Md NPPES

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

MICHAEL D ADAMS MD (NPI 1134129794) is an individual orthopaedic surgery provider in Allen, Texas, licensed in Texas (H0126) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Mckinney Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1985).

NPPES Registry Identity

NPI1134129794
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL D ADAMSCredential: MD
Location Address1125 RAINTREE CIR, SUITE 100Allen, TX 75013-4900
Mailing Address1125 Raintree Cir, Suite 100Allen, TX 75013-4900 · (972) 727-9995 · Fax (972) 727-8350
Phone(972) 727-9995
Fax(972) 727-8350
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1985
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 20, 20192 updates tracked since enumeration
✔ NPI 1134129794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · H0126
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1125 RAINTREE CIR, Allen, TX 75013
Open in Google Maps ↗

Other Identifiers 5

OtherP00913315TX · Medicare Railroad - Effect 02/01/2011
Other83W330Bcbs
Other8CR164TX · Bc/bs Tx - Effect. 02/01/2011
Medicaid133782605TX
OtherTXB117537TX · Medicare Part B - Effect. 02/01/2011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Michael D Adams 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 ID3072411685
PECOS Enrollment IDI20100528000484
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 13

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 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.
306 services183 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
114 services89 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
77 services61 patients
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.
50 services48 patients
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327
Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.
48 services29 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
43 services33 patients

Hospital Affiliations CMS Care Compare

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

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
97%723 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
1%563 patients1/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
97%723 patients4/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
78%563 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

HAROLD LYNN RODGERS JR. M.D.
Orthopaedic Surgery
1125 RAINTREE CIR, SUITE 100
ALLEN, TX 75013
Collin County (972) 727-9995
STEVEN B MORGAN M.D.
Orthopaedic Surgery
1125 RAINTREE CIR, SUITE 100
ALLEN, TX 75013
Collin County (972) 727-9995
MR. SETH MITCHELL RUBIN PA-C
Physician Assistant
1125 RAINTREE CIR
ALLEN, TX 75013
Collin County (972) 727-9995
DR. RICHARD BURG M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1125 RAINTREE CIR, SUITE 100
ALLEN, TX 75013
Collin County (972) 727-9995
CARDIOVASCULAR CENTER OF TEXAS, LLC
Clinic/Center (Ambulatory Surgical)
1125 RAINTREE CIR, SUITE 200
ALLEN, TX 75013
Collin County (468) 898-8400

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 Michael Adams's NPI number?

The NPI number for Michael Adams is 1134129794. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Michael Adams located?

Michael Adams practices at 1125 Raintree Cir Suite 100, Allen, TX 75013. The listed phone number is (972) 727-9995.

What is Michael Adams's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Adams enrolled in Medicare?

Yes. Michael Adams 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 Michael Adams accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Michael Adams 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 Michael Adams affiliated with any hospitals?

According to CMS data, Michael Adams is affiliated with Methodist Mckinney Hospital.

When was this NPI record last updated?

The NPPES record for Michael Adams was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.