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ADAM UPDEGRAFF DO
NPI 1255561767
Allergy & Immunology in Toledo, OH

Active since July 17, 2009PECOS EnrolledAccepts Medicare Assignment
3125 TRANSVERSE DR STE D, TOLEDO, OH 43614(419) 383-3660(419) 383-3268 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Sep 18, 2018 (2 updates tracked since 2018).

About Adam Updegraff Do NPPES

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

ADAM UPDEGRAFF DO (NPI 1255561767) is an individual allergy & immunology provider in Toledo, Ohio, licensed in Ohio (34.017658) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255561767
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameADAM UPDEGRAFFCredential: DO
Location Address3125 TRANSVERSE DR STE DToledo, OH 43614-8008
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595
Phone(419) 383-3660
Fax(419) 383-3268
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2009
Enumeration DateJuly 17, 2009
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1255561767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses✔ Licensed in OH · 34.017658✔ Licensed in IN · 02005087A
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
3125 TRANSVERSE DR STE D, Toledo, OH 43614
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15402 S Staples St, Suite 205Corpus Christi, TX 78411-4670 · Phone (361) 882-3487 · Fax (361) 882-3811
Location 27964 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 436-5670 · Fax (260) 436-4706

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Adam Updegraff Do 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 ID3072821362
PECOS Enrollment IDI20250416001869
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 Adam Updegraff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Toledo Physicians, LLC
0.1 mi
Sports Medicine
3000 ARLINGTON AVE
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 522 clinicians in this Medicare group
NPI 1215240676 (419) 383-3761
Fort Wayne Allergy And Asthma Consultants, Inc.
94 mi
Specialist
7964 W. JEFFERSON BLVD.
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1487734109 (260) 436-5670

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 5

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
968 services13 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.
109 services75 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
47 services35 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.
29 services23 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers49 claims192 services$18.48 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
4 suppliers95 claims34,760 services$9.50 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims900 services$0.03 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers49 claims264 services$2.39 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers20 claims20 services$25.17 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.

SAMANTHA ELIZABETH DAVIS
Internal Medicine
3125 TRANSVERSE DR STE D
TOLEDO, OH 43614
Lucas County (419) 383-6900
SABEEN SIDIKI MD
Internal Medicine (Rheumatology)
3125 TRANSVERSE DR STE D
TOLEDO, OH 43614
Lucas County (419) 383-6900
SHERLYANA SURJA M.D.
Allergy & Immunology
3125 TRANSVERSE DR STE D
TOLEDO, OH 43614
Lucas County (419) 383-3660

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 Adam Updegraff's NPI number?

The NPI number for Adam Updegraff is 1255561767. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Where is Adam Updegraff located?

Adam Updegraff practices at 3125 Transverse Dr Ste D, Toledo, OH 43614. The listed phone number is (419) 383-3660.

What is Adam Updegraff's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Adam Updegraff enrolled in Medicare?

Yes. Adam Updegraff 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 Adam Updegraff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Updegraff reassigns Medicare benefits to 2 organizations: University Of Toledo Physicians, LLC (Toledo, OH) and Fort Wayne Allergy And Asthma Consultants, Inc. (Fort Wayne, IN). 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 Adam Updegraff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Updegraff accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Adam Updegraff 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 Adam Updegraff affiliated with any hospitals?

According to CMS data, Adam Updegraff is affiliated with University Of Toledo Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Updegraff was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.