ADAM J FOLBE M.D.
NPI 1346448040
Otolaryngology in Royal Oak, MI

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073(248) 551-5700(248) 551-8770 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2017, Dec 19, 2016, Dec 16, 2016 and 2 more (5 updates tracked since 2016).

About Adam J Folbe M.d. NPPES

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

ADAM J FOLBE M.D. (NPI 1346448040) is an individual otolaryngology provider in Royal Oak, Michigan, licensed in Michigan (4301078307) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1346448040
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameADAM J FOLBECredential: M.D.
Location Address3555 W 13 MILE RD STE N120Royal Oak, MI 48073-6710
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1848
Fax(248) 551-8770
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2001
Enumeration DateJuly 5, 2007
Last NPPES UpdateMarch 13, 20245 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
NPI 1346448040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · 4301078307
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3555 W 13 MILE RD STE N120, Royal Oak, MI 48073

Secondary Practice Locations 5

Location 14160 John R St Ste 615Detroit, MI 48201-2022 · Phone (313) 745-8040
Location 23990 John R StDetroit, MI 48201-2018 · Phone (313) 745-8040
Location 347601 Grand River AveNovi, MI 48374-1233 · Phone (248) 465-4100
Location 44100 John R StDetroit, MI 48201-2013 · Phone (800) 527-6266
Location 516001 W 9 Mile RdSouthfield, MI 48075-4818 · Phone (248) 849-3000

Accepted 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

Adam J Folbe 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 ID7618078122
PECOS Enrollment IDI20070727000721
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 9

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
149 services85 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.
88 services62 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
21 services15 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.
21 services20 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.
20 services20 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Audiologist
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Surgery (Plastic and Reconstructive Surgery)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Clinical Neuropsychologist
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner (Primary Care)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Physician Assistant (Surgical)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Physician Assistant
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner (Acute Care)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073

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 Folbe's NPI number?

The NPI number for Adam Folbe is 1346448040. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Adam Folbe located?

Adam Folbe practices at 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073. The listed phone number is (248) 551-5700.

What is Adam Folbe's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Adam Folbe enrolled in Medicare?

Yes. Adam Folbe 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 Adam Folbe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Adam Folbe 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 Folbe affiliated with any hospitals?

According to CMS data, Adam Folbe is affiliated with Harper University Hospital, Beaumont Hospital Royal Oak and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Adam Folbe was last updated on March 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.