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DR. REGINALD DWAYNE ADAMS D.O.
NPI 1346278843
Family Medicine in Racine, WI

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
1320 WISCONSIN AVE, RACINE, WI 53403(262) 687-5600(262) 687-5621 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2025, Jan 15, 2021 (2 updates tracked since 2021).

About Dr. Reginald Dwayne Adams D.o. NPPES

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

DR. REGINALD DWAYNE ADAMS D.O. (NPI 1346278843) is an individual family medicine provider in Racine, Wisconsin, licensed in Wisconsin (45816-021) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Mid West Medical College (2000).

NPPES Registry Identity

NPI1346278843
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REGINALD DWAYNE ADAMSCredential: D.O.
Location Address1320 WISCONSIN AVERacine, WI 53403-1978
Mailing Address1320 Wisconsin AveRacine, WI 53403-1978 · (262) 687-5600 · Fax (262) 687-5621
Phone(262) 687-5600
Fax(262) 687-5621
Sole ProprietorNo
Medical School CMSMid West Medical CollegeGraduated 2000
Enumeration DateJune 30, 2006
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1346278843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 45816-021
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1320 WISCONSIN AVE, Racine, WI 53403
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Other Identifiers 2

Other45816-021WI · License
Medicaid43507000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Dr. Reginald Dwayne Adams D.o. 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 ID3072601277
PECOS Enrollment IDI20071126000236
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 2

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.
121 services65 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53403 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims67 services$5.61 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 20

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

KATHLEEN RASMUSSEN LPC
Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2222
MARY C. MANNING N.P.
Nurse Practitioner
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2363
DENISE A KELLER COTA
Occupational Therapy Assistant
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2640
MARY BEDFORD
Social Worker
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2380
DR. MEAGHAN KAITLIN DOHERTY M.D.
Student in an Organized Health Care Education/Training Program
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-5600
JEREMY R. BENNETT RD
Dietitian, Registered
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2781
WFHC - ALL SAINTS
Psychiatric Hospital
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-4011
MELANIE A BUCHAKLIAN LPC
Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2222

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 Reginald Adams's NPI number?

The NPI number for Reginald Adams is 1346278843. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Reginald Adams located?

Reginald Adams practices at 1320 Wisconsin Ave, Racine, WI 53403. The listed phone number is (262) 687-5600.

What is Reginald Adams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Reginald Adams enrolled in Medicare?

Yes. Reginald Adams 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 Reginald Adams accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Reginald Adams 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 Reginald Adams affiliated with any hospitals?

According to CMS data, Reginald Adams is affiliated with Ascension All Saints Hospital and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Reginald Adams was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.