DANIEL J ADLER M.D.
NPI 1407952104
Internal Medicine - Gastroenterology in New York, NY

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
425 E 61ST ST, 4TH FLOOR, NEW YORK, NY 10021(212) 826-3903(212) 339-9984 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel J Adler M.d. NPPES

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

DANIEL J ADLER M.D. (NPI 1407952104) is an individual gastroenterology provider in New York, New York, licensed in New York (158342) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1982).

NPPES Registry Identity

NPI1407952104
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDANIEL J ADLERCredential: M.D.
Location Address425 E 61ST ST, 4TH FLOORNew York, NY 10021-8722
Mailing Address425 E 61st St, 4th FloorNew York, NY 10021-8722 · (212) 826-3903 · Fax (212) 339-9984
Fax(212) 339-9984
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1982
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 14, 2008
NPI 1407952104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 158342
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
425 E 61ST ST, New York, NY 10021

Other Identifiers 3

Medicare PIN13B771NY
Medicaid01506770NY
Medicare UPINA61324NY

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

Daniel J Adler 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 ID9537217922
PECOS Enrollment IDI20090422000598
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 11

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.
168 services134 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.
118 services83 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
83 services83 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
60 services59 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.
57 services57 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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.

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

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
100%158 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
71%668 patients2/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapist
425 E 61ST ST
NEW YORK, NY 10021
Psychologist
425 E 61ST ST, PH 1307
NEW YORK, NY 10021
Internal Medicine
425 E 61ST ST, 11TH FLOOR
NEW YORK, NY 10021
Psychologist (Clinical)
425 E 61ST ST, PENTHOUSE SUITE 1301A
NEW YORK, NY 10021
Obstetrics & Gynecology
425 E 61ST ST, 11TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Psychiatry & Neurology (Psychiatry)
425 E 61ST ST, PENTHOUSE FLOOR SUITE 13-16
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021

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 Daniel Adler's NPI number?

The NPI number for Daniel Adler is 1407952104. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Daniel Adler located?

Daniel Adler practices at 425 E 61st St 4th Floor, New York, NY 10021. The listed phone number is (212) 826-3903.

What is Daniel Adler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Daniel Adler enrolled in Medicare?

Yes. Daniel 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.

When was this NPI record last updated?

The NPPES record for Daniel Adler was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.