DOUGLAS ADER DO, PA-C
NPI 1235486838
Emergency Medicine in West Chester, PA

Active since August 14, 2012PECOS EnrolledAccepts Medicare Assignment
86.96/100
CMS Quality Rating
701 E MARSHALL ST, WEST CHESTER, PA 19380(610) 431-5151 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2022, Sep 4, 2019 (2 updates tracked since 2019).

About Douglas Ader Do, Pa-c NPPES

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

DOUGLAS ADER DO, PA-C (NPI 1235486838) is an individual emergency medicine provider in West Chester, Pennsylvania, licensed in Pennsylvania (OS021842) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1235486838
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS ADERCredential: DO, PA-C
Location Address701 E MARSHALL STWest Chester, PA 19380
Mailing Address161 Colony PlSwedesboro, NJ 08085-3117 · (610) 517-8289
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2019
Enumeration DateAugust 14, 2012
Last NPPES UpdateJuly 4, 20222 updates tracked since enumeration
NPPES CertifiedJuly 4, 2022
NPI 1235486838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in PA · OS021842 Licensed in DE · CE-0007077
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00289600 (NJ)
701 E MARSHALL ST, West Chester, PA 19380

Secondary Practice Location 1

Location 14755 Ogletown Stanton RdNewark, DE 19718-2200 · Phone (302) 733-3904

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

Douglas Ader Do, Pa-c 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 ID7012164775
PECOS Enrollment IDI20220708003679
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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
585 services563 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
524 services507 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
417 services402 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.
121 services120 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
38 services37 patients
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573
This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

86.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.92
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.

Registered Nurse
701 E MARSHALL ST
WEST CHESTER, PA 19380
General Acute Care Hospital
701 E MARSHALL ST
WEST CHESTER, PA 19380
Physician Assistant
701 E MARSHALL ST
WEST CHESTER, PA 19380
Nurse Anesthetist, Certified Registered
701 E MARSHALL ST, NRW 141
WEST CHESTER, PA 19380
Physician Assistant (Medical)
701 E MARSHALL ST
WEST CHESTER, PA 19380
Emergency Medicine
701 E MARSHALL ST
WEST CHESTER, PA 19380
Hospitalist
701 E MARSHALL ST
WEST CHESTER, PA 19380
Pediatrics
701 E MARSHALL ST
WEST CHESTER, PA 19380

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 Douglas Ader's NPI number?

The NPI number for Douglas Ader is 1235486838. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Douglas Ader located?

Douglas Ader practices at 701 E Marshall St, West Chester, PA 19380. The listed phone number is (610) 431-5151.

What is Douglas Ader's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Ader enrolled in Medicare?

Yes. Douglas Ader 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.

Is Douglas Ader affiliated with any hospitals?

According to CMS data, Douglas Ader is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Ader was last updated on July 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.