DR. SUZANNE ELAINE MCADAMS M.D.
NPI 1497854889
Psychiatry & Neurology - Neurology in Boone, NC

Q: What is Suzanne Mcadams's NPI number?

The NPI number for Suzanne Mcadams is 1497854889. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Suzanne Mcadams's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Suzanne Mcadams was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

78.06/100

CMS Quality Rating

895 STATE FARM RD, SUITE 501, BOONE, NC 28607(828) 264-7720(828) 264-7636 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Suzanne Elaine Mcadams M.d. NPPES

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

DR. SUZANNE ELAINE MCADAMS M.D. (NPI 1497854889) is an individual neurology provider in Boone, North Carolina, licensed in North Carolina (9601697) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of George Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1497854889

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. SUZANNE ELAINE MCADAMSCredential: M.D.

Location Address895 STATE FARM RD, SUITE 501Boone, NC 28607-4917

Mailing Address895 State Farm Rd, Suite 501Boone, NC 28607-4917 · (828) 264-7720 · Fax (828) 264-7636

Phone(828) 264-7720

Fax(828) 264-7636

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 1990

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1497854889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NC · 9601697

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

895 STATE FARM RD, Boone, NC 28607

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Other Identifiers 7

Other0276FNC · Bcbs Nc

OtherJ972NC · Cigna

Medicare UPING58639NC

Medicaid790276FNC

Medicaid891080ENC

Medicare ID-Type Unspecified2243588ANC

Medicaid4046636TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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. Suzanne Elaine Mcadams 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 ID1850435918

PECOS Enrollment IDI20100212000719

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

Medicare enrollment records show Suzanne Mcadams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boone Neurological Services, PA

Same address

Neurology

895 STATE FARM RD, SUITE 501
Boone, NC 28607

Reassigned Medicare billing, North Carolina enrollment

NPI 1184804320 (828) 264-7720

Watauga Medical Center Inc

0.4 mi

General Acute Care Hospital

336 DEERFIELD RD
Boone, NC 28607

Reassigned Medicare billing, North Carolina enrollment
129 clinicians in this Medicare group

NPI 1205859766 (828) 262-4100

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 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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

623 services95 patients

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.

601 services342 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.

232 services185 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

208 services90 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

75 services39 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

52 services52 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.

25 services25 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services15 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

18 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340041

Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County

Emergency services

Watauga Medical Center

Acute Care Hospitals · Boone, NC

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340051

Location336 Deerfield RoadBoone, NC 28607 · Watauga County

Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340061

Location101 Manning DriveChapel Hill, NC 27514 · Orange County

Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341323

Location434 Hospital DriveLinville, NC 28646 · Avery County

Emergency services

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341325

Location200 Hospital AveJefferson, NC 28640 · Ashe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

78.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

72.29

Promoting Interoperability

Improvement Activities

Cost

56.25

Reported Quality Measures

Controlling High Blood Pressure

68%357 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

100%2,458 patients5/55-star benchmark: 100%

e-Prescribing

95%1,637 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

99%1,200 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 783 patients

Patients screened: 100% · 783 patients

100%50 patients5/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 100% · 782 patients

100%782 patients

Provide Patients Electronic Access to Their Health Information

98%648 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 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

11 suppliers84 claims84 services$40.74 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers79 claims79 services$106.14 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers82 claims178 services$42.54 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers53 claims201 services$22.88 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers15 claims57 services$16.08 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers66 claims66 services$63.31 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers100 claims100 services$20.75 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers57 claims57 services$19.82 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers165 claims592 services$2.81 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

11 suppliers64 claims64 services$12.13 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$50.60 avg. paid by Medicare

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$48.51 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers22 claims22 services$921.50 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

2 suppliers51 claims55 services$291.49 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers12 claims12 services$182.73 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers66 claims72 services$17.68 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers166 claims173 services$46.86 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers12 claims12 services$44.37 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers45 claims45 services$101.30 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.

JOHN HILTON LPC

Counselor (Professional)

895 STATE FARM RD, SUITE 508
BOONE, NC 28607

Watauga County (828) 263-5666

NEW RIVER SERVICE AUTHORITY

Community/Behavioral Health

895 STATE FARM RD, SUITE 508
BOONE, NC 28607

Watauga County (828) 264-9007

DR. LAUREN E RENKERT LCSW

Social Worker (Clinical)

895 STATE FARM RD, SUITE 104
BOONE, NC 28607

Watauga County (828) 265-0190

MS. GAIL SUGGS HAWKINSON G-PA

Psychologist

895 STATE FARM RD, SUITE 508
BOONE, NC 28607

Watauga County (828) 264-9007

MS. MARGARET LOUISE CRAIG MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

895 STATE FARM RD, SUITE 508
BOONE, NC 28607

Watauga County (828) 264-9007

KERI LASTINGER

Counselor (Mental Health)

895 STATE FARM RD, BUILDING 500, SUITE 505
BOONE, NC 28607

Watauga County (828) 406-3794

BOONE NEUROLOGICAL SERVICES, PA

Psychiatry & Neurology (Neurology)

895 STATE FARM RD, SUITE 501
BOONE, NC 28607

Watauga County (828) 264-7720

DR. ROCHELLE RENEE' EVANS DR., LPC

Counselor (Professional)

895 STATE FARM RD
BOONE, NC 28607

Watauga County (828) 406-3177

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 Suzanne Mcadams's NPI number?

The NPI number for Suzanne Mcadams is 1497854889. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Suzanne Mcadams located?

Suzanne Mcadams practices at 895 State Farm Rd Suite 501, Boone, NC 28607. The listed phone number is (828) 264-7720.

What is Suzanne Mcadams's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Suzanne Mcadams enrolled in Medicare?

Yes. Suzanne Mcadams 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 Suzanne Mcadams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Mcadams reassigns Medicare benefits to 2 organizations: Boone Neurological Services, PA (Boone, NC) and Watauga Medical Center Inc (Boone, 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 Suzanne Mcadams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Mcadams accept?

Health plans from Cigna Healthcare list Suzanne Mcadams 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 Suzanne Mcadams affiliated with any hospitals?

According to CMS data, Suzanne Mcadams is affiliated with Caldwell Memorial Hospital, Watauga Medical Center, Unc Hospitals, Charles A Cannon Jr Memorial Hospital and Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Suzanne Mcadams was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.