DR. ADAM BRUGGEMAN M.D.
NPI 1316160625
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in San Antonio, TX

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3619 PAESANOS PKWY STE 302, SAN ANTONIO, TX 78231(210) 802-4662(210) 802-4722 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 13, 2024, Jul 13, 2020 (2 updates tracked since 2020).

About Dr. Adam Bruggeman M.d. NPPES

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

DR. ADAM BRUGGEMAN M.D. (NPI 1316160625) is an individual orthopaedic surgery of the spine provider in San Antonio, Texas, licensed in Texas (N9820) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Legent Orthopedic + Spine, and is a graduate of University Of Texas Medical School At San Antonio (2007).

NPPES Registry Identity

NPI1316160625
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. ADAM BRUGGEMANCredential: M.D.
Location Address3619 PAESANOS PKWY STE 302San Antonio, TX 78231-1259
Mailing Address20770 Us Highway 281 N # 108-439San Antonio, TX 78258-7519 · (210) 802-4662 · Fax (210) 802-4722
Fax(210) 802-4722
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2007
Enumeration DateApril 11, 2007
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1316160625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TX · N9820
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License N9820 (TX)
3619 PAESANOS PKWY STE 302, San Antonio, TX 78231

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

Dr. Adam Bruggeman 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 ID8729240973
PECOS Enrollment IDI20131011000401
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 Bruggeman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery of the Spine
3619 PAESANOS PKWY STE 302
San Antonio, TX 78231
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
Surgical Assistant
3619 PAESANOS PKWY STE 300
San Antonio, TX 78231
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group

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 12

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 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.
181 services121 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.
101 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
82 services71 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
69 services69 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.
46 services46 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
36 services24 patients

Hospital Affiliations CMS Care Compare

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

Legent Orthopedic + Spine

Acute Care Hospitals · San Antonio, TX
OwnershipProprietary
CMS Certification Number670112
Location5330 North Loop 1604 WestSan Antonio, TX 78249 · Bexar County

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231
Specialist/Technologist, Other (Surgical Assistant)
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231
Neurological Surgery
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231
Durable Medical Equipment & Medical Supplies
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231
Specialist/Technologist, Other (Surgical Assistant)
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231
Social Worker
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231
Counselor (Addiction (Substance Use Disorder))
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231
Physician Assistant
3619 PAESANOS PKWY STE 302
SAN ANTONIO, TX 78231

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 Bruggeman's NPI number?

The NPI number for Adam Bruggeman is 1316160625. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Adam Bruggeman located?

Adam Bruggeman practices at 3619 Paesanos Pkwy Ste 302, San Antonio, TX 78231. The listed phone number is (210) 802-4662.

What is Adam Bruggeman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Adam Bruggeman enrolled in Medicare?

Yes. Adam Bruggeman 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 Bruggeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Bruggeman reassigns Medicare benefits to 2 organizations: Adam Bruggeman MD PLLC (San Antonio, TX) and Medical Centers Of Texas (San Antonio, TX). 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 Bruggeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Bruggeman 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 8 other insurers list Adam Bruggeman 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 Bruggeman affiliated with any hospitals?

According to CMS data, Adam Bruggeman is affiliated with Legent Orthopedic + Spine.

When was this NPI record last updated?

The NPPES record for Adam Bruggeman was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.