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DR. ADAM J PRUETT M.D.
NPI 1609050756
Psychiatry & Neurology - Psychiatry in Manchester, VT

Active since December 26, 2007PECOS Enrolled
4384 MAIN STREET, MANCHESTER, VT 05254(802) 768-9136(802) 662-2173 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2023, Nov 18, 2021, Nov 7, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Adam J Pruett M.d. NPPES

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

DR. ADAM J PRUETT M.D. (NPI 1609050756) is an individual psychiatry provider in Manchester, Vermont, licensed in Vermont (042.0013999) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609050756
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ADAM J PRUETTCredential: M.D.
Location Address4384 MAIN STREETManchester, VT 05254-8945
Mailing AddressPo Box 255Manchester, VT 05254-0255 · (802) 768-9136 · Fax (802) 662-2173
Phone(802) 768-9136
Fax(802) 662-2173
Sole ProprietorYes
Enumeration DateDecember 26, 2007
Last NPPES UpdateJune 6, 20235 updates tracked since enumeration
NPPES CertifiedJune 3, 2023
✔ NPI 1609050756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VT · 042.0013999✔ Licensed in GA · 059863✔ Licensed in AL · 28584
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4384 MAIN STREET, Manchester, VT 05254
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam J Pruett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Adam Pruett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Springfield Medical Care Systems Inc.
30 mi
Federally Qualified Health Center (FQHC)
100 RIVER ST
Springfield, VT 05156
  • Reassigned Medicare billing, Vermont enrollment
  • 72 clinicians in this Medicare group
NPI 1730336843 (802) 886-3937
Brattleboro Retreat
33 mi
Psychiatric Hospital
22 ANNA MARSH LANE
Brattleboro, VT 05302
  • Reassigned Medicare billing, Vermont enrollment
  • 110 clinicians in this Medicare group
NPI 1730185232 (802) 257-7785
The Health Care Authority Of The City Of Anniston
943 mi
Internal Medicine
1701 PELHAM RD S
Jacksonville, AL 36265
  • Reassigned Medicare billing, Alabama enrollment
  • 66 clinicians in this Medicare group
NPI 1427503010 (256) 435-4970
Regional Health Management Corporation
952 mi
Psychiatry
901 LEIGHTON AVE, STE 204
Anniston, AL 36207
  • Reassigned Medicare billing, Alabama enrollment
  • 58 clinicians in this Medicare group
NPI 1639466584 (256) 235-5165
Monument Health Rapid City Hospital, Inc.
1,458 mi
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1265811285 (605) 279-2149

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05254 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 3

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

MRS. SAMANTHA BURNHAM INGERICK NP
Nurse Practitioner (Pediatrics)
4384 MAIN STREET
MANCHESTER, VT 05254
Bennington County (802) 768-9136
TACONIC INTEGRATIVE PSYCHIATRIC SERVICES, PLLC
Psychiatry & Neurology (Psychiatry)
4384 MAIN STREET
MANCHESTER, VT 05254
Bennington County (802) 768-9136
MR. DONALD HENRY GRENIER JR. MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4384 MAIN STREET
MANCHESTER, VT 05254
Bennington County (802) 768-9136

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 Pruett's NPI number?

The NPI number for Adam Pruett is 1609050756. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Adam Pruett located?

Adam Pruett practices at 4384 Main Street, Manchester, VT 05254. The listed phone number is (802) 768-9136.

What is Adam Pruett's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Adam Pruett enrolled in Medicare?

Yes. Adam Pruett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Pruett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Pruett reassigns Medicare benefits to 5 organizations: Springfield Medical Care Systems Inc. (Springfield, VT), Brattleboro Retreat (Brattleboro, VT), The Health Care Authority Of The City Of Anniston (Jacksonville, AL), Regional Health Management Corporation (Anniston, AL) and Monument Health Rapid City Hospital, Inc. (Wall, SD). 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 Adam Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adam Pruett was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.