DANIEL A ADELBERG MD
NPI 1225000557
Ophthalmology - Retina Specialist in Mesa, AZ

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
1055 S STAPLEY DR, MESA, AZ 85204(480) 892-8400(480) 892-9533 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2021, Apr 30, 2019, May 25, 2017 (3 updates tracked since 2017).

About Daniel A Adelberg Md NPPES

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

DANIEL A ADELBERG MD (NPI 1225000557) is an individual retina specialist in Mesa, Arizona, licensed in Arizona (22496) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Boston University School Of Medicine (1988).

NPPES Registry Identity

NPI1225000557
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDANIEL A ADELBERGCredential: MD
Location Address1055 S STAPLEY DRMesa, AZ 85204-5098
Mailing Address4800 N 22nd St Ste 210Phoenix, AZ 85016-4963 · (480) 892-8400 · Fax (602) 508-4830
Fax(480) 892-9533
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1988
Enumeration DateFebruary 2, 2006
Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
NPI 1225000557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in AZ · 22496
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 22496 (AZ)
1055 S STAPLEY DR, Mesa, AZ 85204

Secondary Practice Location 1

Location 16705 E McDowell RdMesa, AZ 85215-1751 · Phone (480) 985-7400 · Fax (480) 396-6362

Other Identifiers 1

Medicaid317249AZ

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

Daniel A Adelberg 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 ID6305741182
PECOS Enrollment IDI20031204000657
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 14

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
17,580 services148 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,687 services779 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.
1,237 services569 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
470 services222 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
184 services184 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.
183 services165 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost58.84

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Ophthalmologic Surgery)
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Ophthalmology
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1055 S STAPLEY DR
MESA, AZ 85204
Specialist/Technologist, Other (Surgical Technologist)
1055 S STAPLEY DR
MESA, AZ 85204

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 Daniel Adelberg's NPI number?

The NPI number for Daniel Adelberg is 1225000557. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Daniel Adelberg located?

Daniel Adelberg practices at 1055 S Stapley Dr, Mesa, AZ 85204. The listed phone number is (480) 892-8400.

What is Daniel Adelberg's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Daniel Adelberg enrolled in Medicare?

Yes. Daniel Adelberg 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 Daniel Adelberg accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Daniel Adelberg 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.

When was this NPI record last updated?

The NPPES record for Daniel Adelberg was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.