MARK ADAMS M.D
NPI 1427090448
Medical Genetics - Clinical Genetics (M.D.) in Saginaw, MI
Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
5400 MACKINAW RD, SUITE 2300, SAGINAW, MI 48604(989) 753-4000(989) 754-4000 Get Directions Write a Review
About Mark Adams M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ADAMS M.D (NPI 1427090448) is an individual clinical genetics (m.d.) provider in Saginaw, Michigan, licensed in Michigan (4301059376) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and is a graduate of University Of Michigan Medical School (1992).
NPPES Registry Identity
NPI1427090448
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameMARK ADAMSCredential: M.D
Location Address5400 MACKINAW RD, SUITE 2300Saginaw, MI 48604-9515
Mailing Address5400 Mackinaw Rd, Suite 2300Saginaw, MI 48604-9515 · (989) 753-4000 · Fax (989) 754-4000
Phone(989) 753-4000
Fax(989) 754-4000
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1992
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 17, 2012
✔ NPI 1427090448 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in MI · 4301059376
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
5400 MACKINAW RD, Saginaw, MI 48604
Other Identifiers 3
Medicaid4647680MI
Medicare UPING84457MI
Medicare ID-Type UnspecifiedM74750097MI
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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
Mark Adams 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 ID7214906486
PECOS Enrollment IDI20040927000040
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 15
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
180 services157 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.
130 services130 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.
93 services88 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
45 services25 patients
Aspiration of bone marrow for spine bone graft 20939
Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.
36 services36 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
34 services24 patients
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mymichigan Medical Center Alma
Acute Care Hospitals · Alma, MIOwnershipVoluntary non-profit - Private
CMS Certification Number230030
Location300 E Warwick DrAlma, MI 48801 · Gratiot County
Emergency services Birthing friendly
Covenant Medical Center
Acute Care Hospitals · Saginaw, MIOwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly
Mymichigan Medical Center West Branch
Acute Care Hospitals · West Branch, MIOwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly
Mymichigan Medical Center Clare
Acute Care Hospitals · Clare, MIOwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County
Mymichigan Medical Center Midland
Acute Care Hospitals · Midland, MIOwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly
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.
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
30%930 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
15%943 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
26%1,921 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
20%383 patients1/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
23%383 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%8,325 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
8%1,207 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
36%455 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%6,873 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%3,307 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
27%1,216 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%3,240 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
17%2,217 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
5%2,733 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,887 patients
Patients tobacco: 74% · 1,887 patients
2%496 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%3,344 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%455 patients3/55-star benchmark: 59%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
59%1,032 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,216 patients
3%1,216 patients4/55-star benchmark: 100%
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$65.72 avg. paid by Medicare
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier34 claims34 services$3,756.62 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier28 claims28 services$810.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
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.
Medical Genetics (Clinical Genetics (M.D.))
5400 MACKINAW RD, SUITE 2300
SAGINAW, MI 48604
SAGINAW, MI 48604
Student in an Organized Health Care Education/Training Program
5400 MACKINAW RD
SAGINAW, MI 48604
SAGINAW, MI 48604
Nurse Practitioner
5400 MACKINAW RD, STE 6100
SAGINAW, MI 48604
SAGINAW, MI 48604
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 Mark Adams's NPI number?
The NPI number for Mark Adams is 1427090448. It was assigned to this individual provider in the NPPES registry on June 12, 2006.
Where is Mark Adams located?
Mark Adams practices at 5400 Mackinaw Rd Suite 2300, Saginaw, MI 48604. The listed phone number is (989) 753-4000.
What is Mark Adams's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Mark Adams enrolled in Medicare?
Yes. Mark Adams 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 Mark Adams accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Mark Adams 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 Mark Adams affiliated with any hospitals?
According to CMS data, Mark Adams is affiliated with Mymichigan Medical Center Alma, Covenant Medical Center, Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare and Mymichigan Medical Center Midland.
When was this NPI record last updated?
The NPPES record for Mark Adams was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
