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BRIAN ADKINS M.D.
NPI 1225424690
Pathology - Anatomic Pathology & Clinical Pathology in Dallas, TX

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-6746 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Brian Adkins M.d. NPPES

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

BRIAN ADKINS M.D. (NPI 1225424690) is an individual anatomic pathology & clinical pathology provider in Dallas, Texas, licensed in Texas (T0985) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1225424690
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameBRIAN ADKINSCredential: M.D.
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (144) 566-7462 · Fax (615) 343-7023
Phone(214) 456-6746
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2015
Enumeration DateApril 12, 2015
Last NPPES UpdateOctober 24, 2023
NPPES CertifiedSeptember 8, 2022
✔ NPI 1225424690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · T0985
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1935 MEDICAL DISTRICT DR, Dallas, TX 75235
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Secondary Practice Location 1

Location 11161 21st Ave S, CC3322 Medical Center NorthNashville, TN 37232-2561 · Phone (615) 343-4882 · Fax (615) 343-7023

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Brian Adkins 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 ID9032411665
PECOS Enrollment IDI20210602001460
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.

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

TERESA ANNA JONES CPNP-AC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (973) 801-0173
CASSIE ANN LAURENCE PA-C
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MICHELE WILLET RYLANDER RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MR. ADAM CHRISTOPHER WENNER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (469) 303-7000
RICHARD DAVID SENTELLE D.M.D./PH.D.
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Dallas County (214) 456-2735
KELSEY NICOLE BURKHART PA
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
RENAE JEAN WHITE MD
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-2735
VICTORIA LEE CPNP-AC/PC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000

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 Brian Adkins's NPI number?

The NPI number for Brian Adkins is 1225424690. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Brian Adkins located?

Brian Adkins practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-6746.

What is Brian Adkins's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Brian Adkins enrolled in Medicare?

Yes. Brian Adkins 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 Brian Adkins accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Brian Adkins 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 Brian Adkins affiliated with any hospitals?

According to CMS data, Brian Adkins is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Brian Adkins was last updated on October 24, 2023. 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.