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MICHAEL JUSTIN ADAMES JR. FNP
NPI 1275947533
Nurse Practitioner - Family in Abilene, TX

Active since June 16, 2014PECOS EnrolledAccepts Medicare Assignment
76.19/100
CMS Quality Rating
5302 BUFFALO GAP RD STE 104, ABILENE, TX 79606(325) 307-6226(325) 307-6288 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2019, Dec 1, 2015 (2 updates tracked since 2015).

About Michael Justin Adames Jr. Fnp NPPES

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

MICHAEL JUSTIN ADAMES JR. FNP (NPI 1275947533) is an individual family provider in Abilene, Texas, licensed in Texas (AP124939) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Georgetown University School Of Medicine (2013).

NPPES Registry Identity

NPI1275947533
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL JUSTIN ADAMES JR.Credential: FNP
Location Address5302 BUFFALO GAP RD STE 104Abilene, TX 79606-4251
Mailing AddressPo Box 1198Abilene, TX 79604-1198 · (325) 670-4372 · Fax (325) 670-4040
Phone(325) 307-6226
Fax(325) 307-6288
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2013
Enumeration DateJune 16, 2014
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
✔ NPI 1275947533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP124939
5302 BUFFALO GAP RD STE 104, Abilene, TX 79606
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Michael Justin Adames Jr. Fnp 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 ID1052624517
PECOS Enrollment IDI20150714000054
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 4

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 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.
725 services429 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.
369 services270 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
83 services73 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.
73 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79606 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

76.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.88
Promoting Interoperability99
Improvement Activities40
Cost33.6

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
72%64 patients3/55-star benchmark: 100%
Breast Cancer Screening
78%523 patients4/55-star benchmark: 93%
Cervical Cancer Screening
43%429 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
49%554 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
77%956 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
85%33 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
26%326 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%326 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%3,661 patients4/55-star benchmark: 100%
e-Prescribing
99%2,223 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
28%1,090 patients2/55-star benchmark: 100%
HIV Screening
3%915 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,870 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%1,379 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%1,181 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 11% · 1,767 patients
Patients screened: 12% · 1,767 patients
24%25 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%752 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
13%418 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%752 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 1,045 patients
Patients totalRate: 19% · 1,115 patients
18%1,115 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers14 claims14 services$38.35 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$52.84 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$17.22 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers22 claims88 services$2.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.17 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers25 claims25 services$34.22 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 5

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

GRANT JAMESON M.D.
Anesthesiology (Pain Medicine)
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Taylor County (325) 307-6226
JAMES SWEET
Anesthesiology (Pain Medicine)
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Taylor County (325) 307-6226
DELENA MARTINEZ FNP-C
Nurse Practitioner (Family)
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Taylor County (325) 307-6226
JOSHUA LOWELL GRAY DO
Internal Medicine
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Taylor County (325) 307-6226
NATHAN EDWARD BOLES
Family Medicine
5302 BUFFALO GAP RD STE 104
ABILENE, TX 79606
Taylor County (325) 307-6226

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 Michael Adames's NPI number?

The NPI number for Michael Adames is 1275947533. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Michael Adames located?

Michael Adames practices at 5302 Buffalo Gap Rd Ste 104, Abilene, TX 79606. The listed phone number is (325) 307-6226.

What is Michael Adames's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Adames enrolled in Medicare?

Yes. Michael Adames 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 Michael Adames accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Michael Adames 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 Michael Adames affiliated with any hospitals?

According to CMS data, Michael Adames is affiliated with Hendrick Medical Center and Hendrick Medical Center Brownwood.

When was this NPI record last updated?

The NPPES record for Michael Adames was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.