ALF KARL ADLER MD
NPI 1396856860
Obstetrics & Gynecology in Dumfries, VA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
16830 DUMFRIES RD, STE. 150, DUMFRIES, VA 22025(703) 574-3415 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2022, Nov 16, 2016 (2 updates tracked since 2016).

About Alf Karl Adler Md NPPES

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

ALF KARL ADLER MD (NPI 1396856860) is an individual obstetrics & gynecology provider in Dumfries, Virginia, licensed in Virginia (0101036648) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Northern Virginia Medical Center, and is a graduate of George Washington University School Of Medicine (1984).

NPPES Registry Identity

NPI1396856860
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameALF KARL ADLERCredential: MD
Location Address16830 DUMFRIES RD, STE. 150Dumfries, VA 22025
Mailing Address16830 Dumfries Rd, Ste. 150Dumfries, VA 22025 · (703) 574-3415
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 1984
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1396856860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in VA · 0101036648
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedSpecialistTaxonomy 174400000X
16830 DUMFRIES RD, Dumfries, VA 22025

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

Alf Karl Adler Md 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 ID5496653628
PECOS Enrollment IDI20090317000234
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 7

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
68 services68 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.
67 services54 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.
17 services15 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.
15 services15 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.
14 services13 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22025 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
16830 DUMFRIES RD, STE 160
DUMFRIES, VA 22025
Physician Assistant
16830 DUMFRIES RD, STE 160
DUMFRIES, VA 22025
Dentist
16830 DUMFRIES RD
DUMFRIES, VA 22025
Optometrist
16830 DUMFRIES RD
DUMFRIES, VA 22025
Physical Therapist
16830 DUMFRIES RD, STE. 140
DUMFRIES, VA 22025
Optometrist
16830 DUMFRIES RD
DUMFRIES, VA 22025

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 Alf Adler's NPI number?

The NPI number for Alf Adler is 1396856860. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Alf Adler located?

Alf Adler practices at 16830 Dumfries Rd Ste. 150, Dumfries, VA 22025. The listed phone number is (703) 574-3415.

What is Alf Adler's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alf Adler enrolled in Medicare?

Yes. Alf Adler 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.

Is Alf Adler affiliated with any hospitals?

According to CMS data, Alf Adler is affiliated with Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Alf Adler was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.