ADAM VAN HORN
NPI 1346701539
Ophthalmology in Saginaw, MI

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
90.44/100
CMS Quality Rating
5161 CARDINAL PARK DR, SAGINAW, MI 48604(989) 797-2400 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam Van Horn NPPES

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

ADAM VAN HORN (NPI 1346701539) is an individual ophthalmology provider in Saginaw, Michigan, licensed in Michigan (4301508590) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1346701539
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameADAM VAN HORN
Location Address5161 CARDINAL PARK DRSaginaw, MI 48604-9435
Mailing Address2414 Swede Ave Apt 2206Midland, MI 48642-4945 · (810) 610-9856
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
NPI 1346701539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301508590
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5161 CARDINAL PARK DR, Saginaw, MI 48604

Secondary Practice Location 1

Location 1410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-9812

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 Van Horn 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 ID547594921
PECOS Enrollment IDI20230531001872
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 20

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
2,040 services11 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
327 services177 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
232 services42 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.
228 services177 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
220 services93 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
101 services50 patients

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.15

Other Providers at the Same Location NPPES 9

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

Optometrist
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Prosthetic/Orthotic Supplier
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Nurse Anesthetist, Certified Registered
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Ophthalmology
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Occupational Therapist
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Audiologist-Hearing Aid Fitter
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Optometrist
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Eyewear Supplier
5161 CARDINAL PARK DR
SAGINAW, MI 48604

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 Van Horn's NPI number?

The NPI number for Adam Van Horn is 1346701539. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Adam Van Horn located?

Adam Van Horn practices at 5161 Cardinal Park Dr, Saginaw, MI 48604. The listed phone number is (989) 797-2400.

What is Adam Van Horn's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Adam Van Horn enrolled in Medicare?

Yes. Adam Van Horn 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 Van Horn 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 9 other insurers list Adam Van Horn 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 Van Horn affiliated with any hospitals?

According to CMS data, Adam Van Horn is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Van Horn was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.