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DR. ADAM JOSEPH PALO O.D.
NPI 1396014486
Optometrist in Raleigh, NC

Active since December 20, 2011PECOS EnrolledAccepts Medicare Assignment
712 SEABOARD STATION DR, RALEIGH, NC 27604(919) 200-4840(919) 977-6943 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Mar 10, 2022 (2 updates tracked since 2022).

About Dr. Adam Joseph Palo O.d. NPPES

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

DR. ADAM JOSEPH PALO O.D. (NPI 1396014486) is an individual optometrist in Raleigh, North Carolina, licensed in North Carolina (2243) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tarboro, and is a graduate of Pennsylvania College Of Optometry (2011).

NPPES Registry Identity

NPI1396014486
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ADAM JOSEPH PALOCredential: O.D.
Location Address712 SEABOARD STATION DRRaleigh, NC 27604-1199
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(919) 200-4840
Fax(919) 977-6943
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2011
Enumeration DateDecember 20, 2011
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1396014486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2243
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
712 SEABOARD STATION DR, Raleigh, NC 27604
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Secondary Practice Location 1

Location 12807 N Main StTarboro, NC 27886-1903 · Phone (252) 823-8295 · Fax (252) 823-8552

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Joseph Palo O.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 ID749437986
PECOS Enrollment IDI20130221000258
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Adam Palo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Institute Od
0.1 mi
Optometrist
111 SEABOARD AVE STE 110
Raleigh, NC 27604
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1093226383 (919) 200-4840
Good Looks, Od, PA
7.6 mi
Optometrist
8511 COLONNADE CENTER DR, SUITE 100
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1386080349 (910) 527-9517
Knightdale Eyecare Optometric, P.A.
8.3 mi
Corneal and Contact Management
742 MCKNIGHT DR, SUITE 100
Knightdale, NC 27545
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1255491528 (919) 266-2048
Tei-Wake Forest Od PLLC
13 mi
Optometrist
3211 ROGERS RD STE 100
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1134725609 (919) 453-1220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
53 services39 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
43 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services21 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 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 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27604 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
Optometrist
712 SEABOARD STATION DR
RALEIGH, NC 27604
Wake County (919) 200-4840

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 Palo's NPI number?

The NPI number for Adam Palo is 1396014486. It was assigned to this individual provider in the NPPES registry on December 20, 2011.

Where is Adam Palo located?

Adam Palo practices at 712 Seaboard Station Dr, Raleigh, NC 27604. The listed phone number is (919) 200-4840.

What is Adam Palo's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Adam Palo enrolled in Medicare?

Yes. Adam Palo 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.

Which organizations bill Medicare for Adam Palo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Palo reassigns Medicare benefits to 4 organizations: Eye Institute Od (Raleigh, NC), Good Looks, Od, PA (Raleigh, NC), Knightdale Eyecare Optometric, P.A. (Knightdale, NC) and Tei-Wake Forest Od PLLC (Wake Forest, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Palo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Palo accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 13 other insurers list Adam Palo 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.

When was this NPI record last updated?

The NPPES record for Adam Palo was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.