DR. ADAM D RUBIN MD
NPI 1568554087
Otolaryngology in Saint Clair Shores, MI

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
83.35/100
CMS Quality Rating
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Adam D Rubin Md NPPES

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

DR. ADAM D RUBIN MD (NPI 1568554087) is an individual otolaryngology provider in Saint Clair Shores, Michigan, licensed in Michigan (AR072598) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Harvard Medical School (1997).

NPPES Registry Identity

NPI1568554087
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ADAM D RUBINCredential: MD
Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116
Mailing Address21000 E 12 Mile Rd, Ste 111St Clair Shores, MI 48081 · (586) 779-7310 · Fax (586) 445-2523
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1997
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 9, 2007
NPI 1568554087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · AR072598
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
21000 E 12 MILE RD, Saint Clair Shores, MI 48081

Other Identifiers 10

OtherP00217135Railroad Medicare
Other7234039Cigna
Medicare UPINI18665MI
Medicaid4635114MI
Other0405015491Blue Cross Blue Shield
Other16768Mcar
Other7883549Aetna
OtherI18665Health Alliance Plan
Other0501549Blue Care Network
Other139782Care Choices

Accepted 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

Dr. Adam D Rubin 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 ID941261200
PECOS Enrollment IDI20041020001264
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 13

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.

Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
467 services328 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.
206 services206 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.
127 services107 patients
Evaluation and recording of swallowing using an endoscope 92612
This procedure, known as endoscopic evaluation of swallowing, involves using a thin, flexible tube with a camera (endoscope) to view your throat and evaluate your swallowing. It helps identify any issues that may be causing difficulty in swallowing.
124 services118 patients
Study of voice box function 92520
The study of voice box function, or laryngoscopy, involves examining your voice box, or larynx, to assess its health and function. It helps identify issues like voice disorders, throat pain, or breathing problems. It's a non-invasive, painless procedure done by a medical professional.
107 services96 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.
65 services65 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

Reported Quality Measures

Breast Cancer Screening
31%547 patients2/55-star benchmark: 93%
Cervical Cancer Screening
22%577 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
49%272 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
29%1,040 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
56%339 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
26%123 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
41%123 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
63%3,540 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
18%683 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%1,622 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 47% · 1,314 patients
Patients screened: 49% · 1,314 patients
62%82 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%349 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 689 patients
Patients totalRate: 6% · 709 patients
6%709 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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.69 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.

Otolaryngology (Sleep Medicine)
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Allergy & Immunology
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

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 Adam Rubin's NPI number?

The NPI number for Adam Rubin is 1568554087. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Adam Rubin located?

Adam Rubin practices at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Adam Rubin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Adam Rubin enrolled in Medicare?

Yes. Adam Rubin 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 Adam Rubin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Adam Rubin 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 Adam Rubin affiliated with any hospitals?

According to CMS data, Adam Rubin is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak, Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Adam Rubin was last updated on October 9, 2007. 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.