DR. GLENN D. ADAMS M.D.
NPI 1588658231
Internal Medicine - Pulmonary Disease in Sarasota, FL

NPI Status: Active since September 08, 2005

Contact Information

1625 S OSPREY AVE
SARASOTA, FL
ZIP 34239
Phone: (941) 917-8772
Fax: (941) 365-7057

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  • Individual
  • Male
  • Internal Medicine
  • Pulmonary Disease
  • PECOS Enrolled
  • Medicare Quality Reporting

About GLENN ADAMS

This page provides the complete NPI Profile along with additional information for Glenn Adams, an internist established in Sarasota, Florida with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1588658231 assigned on September 2005. The practitioner's primary taxonomy code is 207RP1001X with license number ME44375 (FL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1588658231
Provider Name
DR. GLENN D. ADAMS M.D.
Gender
Male
Entity Type
Individual
Location Address
1625 S OSPREY AVE SARASOTA, FL 34239
Location Phone
(941) 917-8772
Location Fax
(941) 365-7057
Mailing Address
4411 BEE RIDGE RD SUITE 440 SARASOTA, FL 34233
Mailing Phone
(941) 917-8772
Mailing Fax
(941) 365-7057
Is Sole Proprietor?
Yes
Enumeration Date
09-08-2005
Last Update Date
05-13-2010
Code Navigator

An internist like Glenn Adams is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
ME44375
License State
FL
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30723OTHER (01)FLBCBS
069755900MEDICAID (05)FL 
202858219OTHER (01)FLTAX ID
D62209MEDICARE UPIN (02)FL 
30723VMEDICARE PIN (08)FL 

Medicare Participation & PECOS Enrollment Status

Glenn Adams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    21 DME suppliers used 520 Medicare Claims 520 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    13 DME suppliers used 162 Medicare Claims 162 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    12 DME suppliers used 159 Medicare Claims 456 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    23 DME suppliers used 386 Medicare Claims 2218 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    19 DME suppliers used 350 Medicare Claims 2046 Services Paid

  • DME-Other DME (DE001N)

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

    31 DME suppliers used 753 Medicare Claims 753 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    31 DME suppliers used 572 Medicare Claims 572 Services Paid

  • DME-Other DME (DE001N)

    Chinstrap used with positive airway pressure device (HCPCS:A7036)

    8 DME suppliers used 61 Medicare Claims 61 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    22 DME suppliers used 336 Medicare Claims 336 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    32 DME suppliers used 817 Medicare Claims 4792 Services Paid

  • DME-Other DME (DE001N)

    Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)

    14 DME suppliers used 99 Medicare Claims 99 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    24 DME suppliers used 401 Medicare Claims 401 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)

    6 DME suppliers used 13 Medicare Claims 13 Services Paid

  • DME-Other DME (DE000N)

    Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment (HCPCS:E0486)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    7 DME suppliers used 133 Medicare Claims 133 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    14 DME suppliers used 487 Medicare Claims 487 Services Paid

  • DME-Oxygen and Supplies (DC002N)

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

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    2 DME suppliers used 13 Medicare Claims 13 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 34239 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.04
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $32.51
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Completion of CDC Training on Antibiotic StewardshipYesN/A
Completion of all modules of the Centers for Disease Control and Prevention antibiotic stewardship course. Note: This activity may be selected once every 4 years, to avoid duplicative information given that some of the modules may change on a year by year basis but over 4 years there would be a reasonable expectation for the set of modules to have undergone substantive change, for the improvement activities performance category score.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588658231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 2 + 5 + 1 + 6 + 2 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1588658231.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
1625 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Geriatric Psychiatry)
1625 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Psychiatry)
1625 S OSPREY AVE
SARASOTA, FL 34239
Social Worker (Clinical)
1625 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Geriatric Psychiatry)
1625 S OSPREY AVE
SARASOTA, FL 34239
Nurse Practitioner (Psychiatric/Mental Health)
1625 S OSPREY AVE
SARASOTA, FL 34239
Nurse Practitioner (Psychiatric/Mental Health)
1625 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Psychiatry)
1625 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Psychiatry)
1625 S OSPREY AVE
SARASOTA, FL 34239
Psychiatry & Neurology (Psychiatry)
1625 S OSPREY AVE
SARASOTA, FL 34239
Pharmacist (Psychiatric)
1625 S OSPREY AVE
SARASOTA, FL 34239
Counselor (Mental Health)
1625 S OSPREY AVE
SARASOTA, FL 34239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588658231, enumerated as an "individual" on September 08, 2005.

The provider is located at 1625 S OSPREY AVE SARASOTA, FL 34239 and the phone number is (941) 917-8772.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.