DR. ADAM PAUL VASCONCELLOS M.D.
NPI 1386939023
Otolaryngology in Wyomissing, PA

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
88.93/100
CMS Quality Rating
985 BERKSHIRE BLVD STE 101, WYOMISSING, PA 19610(610) 374-5599(610) 375-1262 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2023, Jan 21, 2021, Jul 29, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Adam Paul Vasconcellos M.d. NPPES

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

DR. ADAM PAUL VASCONCELLOS M.D. (NPI 1386939023) is an individual otolaryngology provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD459611) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2011).

NPPES Registry Identity

NPI1386939023
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ADAM PAUL VASCONCELLOSCredential: M.D.
Location Address985 BERKSHIRE BLVD STE 101Wyomissing, PA 19610-1268
Mailing Address985 Berkshire Blvd Ste 101Wyomissing, PA 19610-1268 · (610) 374-5599 · Fax (610) 375-1262
Fax(610) 375-1262
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2011
Enumeration DateJune 10, 2011
Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
NPI 1386939023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in PA · MD459611
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 247774 (MA)
985 BERKSHIRE BLVD STE 101, Wyomissing, PA 19610

Other Identifiers 1

Medicaid1032662510002PA

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

Dr. Adam Paul Vasconcellos 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 ID2860625894
PECOS Enrollment IDI20170705000136
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 13

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.
263 services182 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.
154 services121 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.
107 services92 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.
88 services88 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
78 services65 patients
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.
69 services58 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Surgical Institute Of Reading

Acute Care Hospitals · Wyomissing, PA
OwnershipPhysician
CMS Certification Number390316
Location2752 Century BoulevardWyomissing, PA 19610 · Berks County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

88.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost63.1

Other Providers at the Same Location NPPES 4

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

Audiologist
985 BERKSHIRE BLVD STE 101
WYOMISSING, PA 19610
Otolaryngology
985 BERKSHIRE BLVD STE 101
WYOMISSING, PA 19610
Audiologist
985 BERKSHIRE BLVD STE 101
WYOMISSING, PA 19610
Nurse Practitioner (Family)
985 BERKSHIRE BLVD STE 101
WYOMISSING, PA 19610

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 Vasconcellos's NPI number?

The NPI number for Adam Vasconcellos is 1386939023. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Adam Vasconcellos located?

Adam Vasconcellos practices at 985 Berkshire Blvd Ste 101, Wyomissing, PA 19610. The listed phone number is (610) 374-5599.

What is Adam Vasconcellos's specialty?

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

Is Adam Vasconcellos enrolled in Medicare?

Yes. Adam Vasconcellos 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 Vasconcellos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Adam Vasconcellos 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 Vasconcellos affiliated with any hospitals?

According to CMS data, Adam Vasconcellos is affiliated with Reading Hospital, Penn State Health St. Joseph, Milton S Hershey Medical Center and Surgical Institute Of Reading.

When was this NPI record last updated?

The NPPES record for Adam Vasconcellos was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.