ADAM HESNEY M.D.
NPI 1336559046
Radiology - Diagnostic Radiology in Allentown, PA

Active since May 02, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-8000 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adam Hesney M.d. NPPES

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

ADAM HESNEY M.D. (NPI 1336559046) is an individual diagnostic radiology provider in Allentown, Pennsylvania, licensed in Georgia (83232) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2014).

NPPES Registry Identity

NPI1336559046
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameADAM HESNEYCredential: M.D.
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address1200 S Cedar Crest BlvdAllentown, PA 18103-6202 · (610) 402-8000
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2014
Enumeration DateMay 2, 2014
Last NPPES UpdateJune 7, 2019
✔ NPI 1336559046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in GA · 83232✔ Licensed in PA · MT206020
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1200 S CEDAR CREST BLVD, Allentown, PA 18103

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

Adam Hesney 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 ID2163648692
PECOS Enrollment IDI20230922000909
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

7

Medicare enrollment records show Adam Hesney reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
49 LAKE AVE
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 14 clinicians in this Medicare group
Orthopaedic Surgery
6 GREENWICH OFFICE PARK
Greenwich, CT 06831
  • Reassigned Medicare billing, Connecticut enrollment
  • 139 clinicians in this Medicare group
General Acute Care Hospital
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 268 clinicians in this Medicare group
Specialist
10945 N PORT WASHINGTON RD STE 201
Mequon, WI 53092
  • Reassigned Medicare billing, Tennessee enrollment
  • 44 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Vascular & Interventional Radiology
111 17TH AVE E
Alexandria, MN 56308
  • Reassigned Medicare billing, Tennessee enrollment
  • 42 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 86

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
795 services638 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
346 services325 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
326 services301 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
212 services199 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
191 services191 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
179 services170 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Radiology (Diagnostic Radiology)
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

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 Hesney's NPI number?

The NPI number for Adam Hesney is 1336559046. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Adam Hesney located?

Adam Hesney practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-8000.

What is Adam Hesney's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Adam Hesney enrolled in Medicare?

Yes. Adam Hesney 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 Hesney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Hesney reassigns Medicare benefits to 7 organizations: Greenwich Radiological Group, PC (Greenwich, CT), Orthopaedic & Neurosurgery Specialists, PLLC (Greenwich, CT), Greenwich Hospital (Greenwich, CT), Wisconsin Radiology Specialists, S C (Mequon, WI), The Emory Clinic Inc (Atlanta, GA) and 2 more organizations, listed in the Medicare section above. 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 Hesney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Hesney accept?

Health plans from Oscar Insurance Company list Adam Hesney 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 Hesney affiliated with any hospitals?

According to CMS data, Adam Hesney is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Adam Hesney was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.