MR. DAVID SETH ADAMS PA-C
NPI 1366094195
Physician Assistant in Prestonsburg, KY

Q: What is David Adams's NPI number?

The NPI number for David Adams is 1366094195. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Q: What is David Adams's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for David Adams was last updated on May 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment

85.07/100

CMS Quality Rating

1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653(606) 886-1260 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2022, Dec 5, 2019, Oct 25, 2019 and 1 more (4 updates tracked since 2019).

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About Mr. David Seth Adams Pa-c NPPES

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

MR. DAVID SETH ADAMS PA-C (NPI 1366094195) is an individual physician assistant in Prestonsburg, Kentucky, licensed in Kentucky (TC896) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and maintains a secondary practice location in Redfox.

NPPES Registry Identity

NPI1366094195

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. DAVID SETH ADAMSCredential: PA-C

Location Address1279 OLD ABBOTT MOUNTAIN RDPrestonsburg, KY 41653

Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-4000

Phone(606) 886-1260

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 11, 2019

Last NPPES UpdateMay 19, 20224 updates tracked since enumeration

NPPES CertifiedMay 19, 2022

✔ NPI 1366094195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KY · TC896

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1279 OLD ABBOTT MOUNTAIN RD, Prestonsburg, KY 41653

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Secondary Practice Location 1

Location 1198 Carr Creek HlRedfox, KY 41847-9020 · Phone (606) 497-5905

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Mr. David Seth Adams Pa-c 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 ID6103251368

PECOS Enrollment IDI20200115002977

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 4

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.

218 services92 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

99 services74 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 services68 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180005

Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County

Emergency services Birthing friendly

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

85.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.96

Promoting Interoperability

100

Improvement Activities

Cost

64.52

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers32 claims32 services$8.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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