CARL M ADOLPH MD
NPI 1568422665
Orthopaedic Surgery in Lancaster, PA

Q: What is Carl Adolph's NPI number?

The NPI number for Carl Adolph is 1568422665. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Carl Adolph's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Adolph was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 24, 2006PECOS EnrolledAccepts Medicare Assignment

170 N POINTE BLVD, LANCASTER, PA 17601(717) 299-4871(717) 391-2494 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Carl M Adolph Md NPPES

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

CARL M ADOLPH MD (NPI 1568422665) is an individual orthopaedic surgery provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD072648L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1568422665

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameCARL M ADOLPHCredential: MD

Location Address170 N POINTE BLVDLancaster, PA 17601-4132

Mailing Address170 N Pointe BlvdLancaster, PA 17601-4132 · (717) 299-4871 · Fax (717) 391-2494

Phone(717) 299-4871

Fax(717) 391-2494

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1988

Enumeration DateMarch 24, 2006

Last NPPES UpdateFebruary 12, 2021

NPPES CertifiedFebruary 12, 2021

✔ NPI 1568422665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in PA · MD072648L

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

170 N POINTE BLVD, Lancaster, PA 17601

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Secondary Practice Locations 3

Location 1212 Willow Valley Lakes Dr Ste 201Willow Street, PA 17584-9668 · Phone (717) 299-4871

Location 22913 Spooky Nook Rd Ste 100Manheim, PA 17545-9149 · Phone (717) 299-4871

Location 31701 Cornwall Rd Ste 200Lebanon, PA 17042-7480 · Phone (717) 299-4871

Other Identifiers 7

Medicaid0015164320005PA

Other136291PA · Healthamerica/healthassur

Other1140698PA · Amerihealthmercy

Other200042473PA · Railroad Medicare

Other950004PA · Blue Shield

Other2513087PA · Aetna

Other02208801PA · Blue Cross

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

Carl M Adolph 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 ID1951380104

PECOS Enrollment IDI20100929000708

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 Reassignment

Medicare enrollment records show Carl Adolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic Assoc Of Lancaster Ltd

Same address

Orthopaedic Surgery

170 N POINTE BLVD
Lancaster, PA 17601

Reassigned Medicare billing, Pennsylvania enrollment
96 clinicians in this Medicare group

NPI 1609835933 (717) 299-4871

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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

434 services66 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.

211 services164 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

146 services86 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

108 services78 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.

101 services77 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

69 services49 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.

63 services63 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

55 services41 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

39 services39 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

39 services23 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

34 services11 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

23 services23 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

23 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.

16 services16 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

15 services12 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 20

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

DR. ALEXANDRIA OLIVIA STARKS M.D.

Orthopaedic Surgery

170 N POINTE BLVD
LANCASTER, PA 17601

Lancaster County (717) 299-4871

DANIEL MICHAEL BROWN

Occupational Therapist (Hand)

170 N POINTE BLVD
LANCASTER, PA 17601

Lancaster County (717) 299-4871

DR. THOMAS I SHERMAN M.D.

Orthopaedic Surgery (Foot and Ankle Surgery)

170 N POINTE BLVD
LANCASTER, PA 17601

Lancaster County (717) 299-4871

MIRANDA F HARLAN OT CHT

Occupational Therapist

170 N POINTE BLVD, ORTHOPEDIC ASSOCIATES OF LANCASTER LTD
LANCASTER, PA 17601

Lancaster County (717) 299-4871

JEFFREY CONLY MD

Physical Medicine & Rehabilitation

170 N POINTE BLVD
LANCASTER, PA 17601

Lancaster County (717) 299-4871

JULIANNA MARIE ELY MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)

170 N POINTE BLVD
LANCASTER, PA 17601

Lancaster County (717) 299-8471

CHRISTOPHER DENDE WANYO

Physical Therapist

170 N POINTE BLVD
LANCASTER, PA 17601

Lancaster County (717) 299-4871

JULIA MARIE PROSSER PA-C

Physician Assistant (Medical)

170 N POINTE BLVD
LANCASTER, PA 17601

Lancaster County (717) 299-4871

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 Carl Adolph's NPI number?

The NPI number for Carl Adolph is 1568422665. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Carl Adolph located?

Carl Adolph practices at 170 N Pointe Blvd, Lancaster, PA 17601. The listed phone number is (717) 299-4871.

What is Carl Adolph's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carl Adolph enrolled in Medicare?

Yes. Carl Adolph 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 organization bills Medicare for Carl Adolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Adolph reassigns Medicare benefits to Orthopedic Assoc Of Lancaster Ltd (Lancaster, PA). The 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 Carl Adolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carl Adolph affiliated with any hospitals?

According to CMS data, Carl Adolph is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Carl Adolph was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.