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ADAM MATTHEW BRESSLER M.D.
NPI 1154371870
Internal Medicine - Infectious Disease in Gainesville, GA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1211 SHERWOOD PARK DR NE STE B, GAINESVILLE, GA 30501(770) 219-8420 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adam Matthew Bressler M.d. NPPES

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

ADAM MATTHEW BRESSLER M.D. (NPI 1154371870) is an individual infectious disease provider in Gainesville, Georgia, licensed in Georgia (052145) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1154371870
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameADAM MATTHEW BRESSLERCredential: M.D.
Location Address1211 SHERWOOD PARK DR NE STE BGainesville, GA 30501-3444
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 219-8420
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1998
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1154371870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in GA · 052145
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1211 SHERWOOD PARK DR NE STE B, Gainesville, GA 30501
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Secondary Practice Location 1

Location 12665 N Decatur Rd, Suite 330Decatur, GA 30033-6149 · Phone (404) 297-9755 · Fax (404) 297-5008

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

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 Matthew Bressler 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 ID3375586530
PECOS Enrollment IDI20050608000507
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 Reassignments

2

Medicare enrollment records show Adam Bressler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Georgia Physicians Group Inc
0.3 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Infectious Disease Specialists Of Atlanta PC
45 mi
Infectious Disease
2665 N DECATUR RD, SUITE 330
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1235170531 (404) 297-9755

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

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
148 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
128 services67 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.
63 services51 patients
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.
63 services60 patients
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.
54 services20 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.
22 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.15
Promoting Interoperability100
Improvement Activities40
Cost95.63

Other Providers at the Same Location NPPES 8

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

DR. NOELLE CLAUDINE STANLEY MD
Internal Medicine (Hospice and Palliative Medicine)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
DR. MONICA ELLIOTT LCSW, ED.D.
Social Worker (Clinical)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
MRS. JENNIFER STANFIELD PUCKETT PA-C
Physician Assistant
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-4840
DONNA MARTIN MOSS LCSW, GC-C
Social Worker (Clinical)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
MRS. DEBORAH JEAN SNEED I LCSW
Social Worker (Clinical)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
ADDISON ROGER PARRIS MD
Internal Medicine (Infectious Disease)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-4840
MRS. JENNIFER SHRUM BEHUNIN RN FNP-C
Nurse Practitioner (Family)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-9179
DR. JOONG YONG KWON M.D.
Internal Medicine (Infectious Disease)
1211 SHERWOOD PARK DR NE STE B
GAINESVILLE, GA 30501
Hall County (770) 219-4840

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 Bressler's NPI number?

The NPI number for Adam Bressler is 1154371870. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Adam Bressler located?

Adam Bressler practices at 1211 Sherwood Park Dr NE Ste B, Gainesville, GA 30501. The listed phone number is (770) 219-8420.

What is Adam Bressler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Adam Bressler enrolled in Medicare?

Yes. Adam Bressler 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 organizations bill Medicare for Adam Bressler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Bressler reassigns Medicare benefits to 2 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA) and Infectious Disease Specialists Of Atlanta PC (Decatur, GA). Each 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 Bressler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Bressler accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Adam Bressler 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 Adam Bressler affiliated with any hospitals?

According to CMS data, Adam Bressler is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Ngmc Barrow, LLC, Union General Hospital and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Adam Bressler was last updated on May 17, 2024. 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.