DR. TARO JOHN ADACHI MD
NPI 1376638213
Obstetrics & Gynecology - Gynecology in Frederick, MD

Q: What is Taro Adachi's NPI number?

The NPI number for Taro Adachi is 1376638213. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Taro Adachi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Taro Adachi was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2006PECOS Enrolled

52.15/100

CMS Quality Rating

61 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 663-6171(301) 695-4469 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Taro John Adachi Md NPPES

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

DR. TARO JOHN ADACHI MD (NPI 1376638213) is an individual gynecology provider in Frederick, Maryland, licensed in Maryland (D41017) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376638213

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameDR. TARO JOHN ADACHICredential: MD

Location Address61 THOMAS JOHNSON DRFrederick, MD 21702-4301

Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339 · Fax (301) 340-9027

Phone(301) 663-6171

Fax(301) 695-4469

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJune 20, 2023

NPPES CertifiedJune 20, 2023

✔ NPI 1376638213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in MD · D41017

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License D41017 (MD)

61 THOMAS JOHNSON DR, Frederick, MD 21702

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Secondary Practice Locations 2

Location 12435 W Belvedere Ave, Suite 33Baltimore, MD 21215-5224 · Phone (410) 601-6311 · Fax (410) 601-8665

Location 27625 Maple Lawn Blvd Lowr LobbyFulton, MD 20759-2565 · Phone (410) 531-7557 · Fax (410) 531-0818

Other Identifiers 7

Other107649Coventry

Other533865Alliance

Other533865Mamsi Opt Choice Mdia

Other0233779006Cigna

Medicaid589081100MD

OtherDA67TJBcbs

Other4604839Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Taro John Adachi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

52.15/100

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

Scored as part of a group practice

Quality

14.28

Promoting Interoperability

Improvement Activities

Cost

53.74

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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.

GERARDO G ARAIZA MD

Obstetrics & Gynecology