DR. DONNA RAE ADAMS MD
NPI 1154381994
Family Medicine in Ashland, KY

Q: What is Donna Adams's NPI number?

The NPI number for Donna Adams is 1154381994. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Donna Adams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Donna Adams was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 March 24, 2006PECOS EnrolledAccepts Medicare Assignment

2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 327-4000(606) 327-7425 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Donna Rae Adams Md NPPES

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

DR. DONNA RAE ADAMS MD (NPI 1154381994) is an individual family medicine provider in Ashland, Kentucky, licensed in Kentucky (40292) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154381994

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DONNA RAE ADAMSCredential: MD

Location Address2201 LEXINGTON AVEAshland, KY 41101-2843

Mailing Address7719 Grandview Lake RdAshland, KY 41102-9057 · (606) 928-9993 · Fax (606) 928-9993

Phone(606) 327-4000

Fax(606) 327-7425

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2001

Enumeration DateMarch 24, 2006

Last NPPES UpdateFebruary 16, 2026

NPPES CertifiedFebruary 16, 2026

✔ NPI 1154381994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in KY · 40292✔ Licensed in FL · ME140280✔ Licensed in WV · 21579

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2201 LEXINGTON AVE, Ashland, KY 41101

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Secondary Practice Locations 2

Location 1AdventHealth Fish Memorial, 1055 Saxon Blvd.Orange City, FL 32763-8468 · Phone (386) 231-3072 · Fax (386) 231-5962

Location 27727 Lake Underhill RdOrlando, FL 32822-8224 · Phone (407) 821-3508 · Fax (407) 821-3509

Other Identifiers 2

Medicaid124400900FL

Medicaid3810000920WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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

Dr. Donna Rae 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 ID4385619246

PECOS Enrollment IDI20190806003879

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

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

Florida Hospital Healthcare Partners, Inc

642 mi

Internal Medicine

301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117

Reassigned Medicare billing, Florida enrollment
733 clinicians in this Medicare group

NPI 1780100529 (386) 231-6000

Florida Hospital Medical Group Inc

688 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

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 3

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 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.

187 services174 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.

88 services84 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.

28 services26 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%332 patients4/55-star benchmark: 100%

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 20

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

DALKEITH FITZLAWSON TUCKER D.O.

Emergency Medicine

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-0605

ELIZABETH JEAN LOAN APRN

Nurse Practitioner (Family)

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

DONALD A KRAFT MD

Emergency Medicine

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 327-4000

DOUGLAS M MOTTLEY M.D.

Specialist

2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101

Boyd County (606) 327-5190

JASON G. ELLIS CRNA

Nurse Anesthetist, Certified Registered

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

ASHLEY LUSTER

Pharmacist

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-1225

HASSAN R ABUL-KHOUDOUD MD

Hospitalist

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

ASHLAND HOSPITAL CORPORATION

Durable Medical Equipment & Medical Supplies

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

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 Donna Adams's NPI number?

The NPI number for Donna Adams is 1154381994. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Donna Adams located?

Donna Adams practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 327-4000.

What is Donna Adams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donna Adams enrolled in Medicare?

Yes. Donna 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.

Which organizations bill Medicare for Donna Adams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Adams reassigns Medicare benefits to 2 organizations: Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Donna Adams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Adams accept?

Health plans from Ambetter Health and Ambetter of Alabama list Donna 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 Donna Adams affiliated with any hospitals?

According to CMS data, Donna Adams is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Donna Adams was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.