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DR. ADOLFO E PRETTELT MD
NPI 1205989241
Family Medicine in Sewell, NJ

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Adolfo E Prettelt Md NPPES

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

DR. ADOLFO E PRETTELT MD (NPI 1205989241) is an individual family medicine provider in Sewell, New Jersey, licensed in New Jersey (25MA09101700) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Sewell.

NPPES Registry Identity

NPI1205989241
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ADOLFO E PRETTELTCredential: MD
Location Address1 PLAZA DRSewell, NJ 08080
Mailing Address1 Federal St # 200Camden, NJ 08103-1088 · (856) 356-4924
Phone(856) 270-4080
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 25, 2019
✔ NPI 1205989241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NJ · 25MA09101700✔ Licensed in PA · MD064961L
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.
1 PLAZA DR, Sewell, NJ 08080
Open in Google Maps ↗

Secondary Practice Location 1

Location 1123 Egg Harbor Rd Ste 604, Tower Commons Bldg 600Sewell, NJ 08080-9408 · Phone (856) 232-6471 · Fax (856) 232-7028

Other Identifiers 1

Medicaid001833485PA

Accepted Insurance

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

Dr. Adolfo E Prettelt 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 ID749464527
PECOS Enrollment IDI20120626000083
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 Adolfo Prettelt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cooper Family Medicine, PC
13 mi
Family Medicine
1050 KINGS HWY N, SUITE 105
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • Also billed through NPI 1093929895 (New Jersey)
  • 157 clinicians in this Medicare group
NPI 1649217175 (856) 321-0303
Cooper Physician Offices, PA
14 mi
Internal Medicine
3 COOPER PLZ, SUITE 215
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 535 clinicians in this Medicare group
NPI 1154369510 (856) 342-2439

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.

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.
322 services190 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
158 services158 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services40 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
33 services31 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.
31 services30 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.96
Promoting Interoperability99.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers34 claims96 services$5.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

COOPER PHYSICIAN OFFICES
Internal Medicine
1 PLAZA DR, SUITE 103
SEWELL, NJ 08080
Gloucester County (856) 270-4080
CMC DEPARTMENT OF MEDICINE GROUP PA
Psychiatry & Neurology (Neurology)
1 PLAZA DR, CHAPEL HEIGHTS & HURFVILLE-CROSS KEYS ROADS
SEWELL, NJ 08080
Gloucester County (856) 270-4080
LORRAINE O SALIEB MD
Internal Medicine
1 PLAZA DR, BUNKER HILL PLAZA
SEWELL, NJ 08080
Gloucester County (856) 270-4080

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 Adolfo Prettelt's NPI number?

The NPI number for Adolfo Prettelt is 1205989241. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Adolfo Prettelt located?

Adolfo Prettelt practices at 1 Plaza Dr, Sewell, NJ 08080. The listed phone number is (856) 270-4080.

What is Adolfo Prettelt's specialty?

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

Is Adolfo Prettelt enrolled in Medicare?

Yes. Adolfo Prettelt 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 Adolfo Prettelt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adolfo Prettelt reassigns Medicare benefits to 2 organizations: Cooper Family Medicine, PC (Cherry Hill, NJ) and Cooper Physician Offices, PA (Camden, NJ). 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 Adolfo Prettelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adolfo Prettelt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Adolfo Prettelt 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 Adolfo Prettelt affiliated with any hospitals?

According to CMS data, Adolfo Prettelt is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Adolfo Prettelt was last updated on June 25, 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.