JAMES P ADAMO MD
NPI 1194721993
Internal Medicine - Pulmonary Disease in Zanesville, OH

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2951 MAPLE AVE, ZANESVILLE, OH 43701(740) 454-5398(740) 455-7580 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James P Adamo Md NPPES

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

JAMES P ADAMO MD (NPI 1194721993) is an individual pulmonary disease provider in Zanesville, Ohio, licensed in Ohio (35-053501) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1984).

NPPES Registry Identity

NPI1194721993
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJAMES P ADAMOCredential: MD
Location Address2951 MAPLE AVEZanesville, OH 43701-1406
Mailing Address2951 Maple AveZanesville, OH 43701-1406 · (740) 454-5398 · Fax (740) 455-7580
Fax(740) 455-7580
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1984
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 22, 2016
NPI 1194721993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 35-053501
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedSpecialistTaxonomy 174400000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35-053501 (OH)
2951 MAPLE AVE, Zanesville, OH 43701

Other Identifiers 5

Medicare PINAD0630341OH
Medicaid0741308OH
Medicare UPINE56986OH
Medicare ID-Type UnspecifiedAD0630341OH · Provider #
Medicare PIN0630349OH

Accepted 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

James P Adamo 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 ID8729031976
PECOS Enrollment IDI20050228000573
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 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.
51 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services31 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.
40 services23 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.
26 services17 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.
21 services17 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

Nurse Anesthetist, Certified Registered
2951 MAPLE AVE
ZANESVILLE, OH 43701
Nurse Practitioner (Family)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Internal Medicine (Pulmonary Disease)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Nurse Practitioner
2951 MAPLE AVE
ZANESVILLE, OH 43701
Nurse Practitioner (Acute Care)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Nurse Anesthetist, Certified Registered
2951 MAPLE AVE
ZANESVILLE, OH 43701
Internal Medicine (Hematology & Oncology)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Emergency Medicine
2951 MAPLE AVE
ZANESVILLE, OH 43701

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 James Adamo's NPI number?

The NPI number for James Adamo is 1194721993. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is James Adamo located?

James Adamo practices at 2951 Maple Ave, Zanesville, OH 43701. The listed phone number is (740) 454-5398.

What is James Adamo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Adamo enrolled in Medicare?

Yes. James Adamo 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 James Adamo accept?

Health plans from CareSource, MedMutual and Molina Healthcare list James Adamo 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 James Adamo affiliated with any hospitals?

According to CMS data, James Adamo is affiliated with Genesis Hospital.

When was this NPI record last updated?

The NPPES record for James Adamo was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.