ADAM PFLUM M.D.
NPI 1649617416
Internal Medicine - Cardiovascular Disease in Wilmington, NC

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
1415 PHYSICIANS DR, WILMINGTON, NC 28401(910) 662-9500(910) 662-9501 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2024, Jul 31, 2024, Jul 22, 2021 (3 updates tracked since 2021).

About Adam Pflum M.d. NPPES

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

ADAM PFLUM M.D. (NPI 1649617416) is an individual cardiovascular disease provider in Wilmington, North Carolina, licensed in North Carolina (2017-00615) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1649617416
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameADAM PFLUMCredential: M.D.
Location Address1415 PHYSICIANS DRWilmington, NC 28401-7338
Mailing AddressPo Box 936857Atlanta, GA 31196-6857 · (910) 662-9500
Fax(910) 662-9501
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1649617416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 2017-00615
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 2017-00615 (NC)
1415 PHYSICIANS DR, Wilmington, NC 28401

Secondary Practice Location 1

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2011

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

Adam Pflum 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 ID9335542299
PECOS Enrollment IDI20210729002111
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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
429 services400 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.
216 services190 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
161 services153 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
118 services111 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
108 services107 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.
101 services101 patients

Hospital Affiliations CMS Care Compare 4

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$16.21 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
2 suppliers12 claims12 services$84.13 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.

Physician Assistant
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Physician Assistant
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Cardiovascular Disease)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Cardiovascular Disease)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Pharmacist (Cardiology)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Clinical Cardiac Electrophysiology)
1415 PHYSICIANS DR
WILMINGTON, NC 28401

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 Pflum's NPI number?

The NPI number for Adam Pflum is 1649617416. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Adam Pflum located?

Adam Pflum practices at 1415 Physicians Dr, Wilmington, NC 28401. The listed phone number is (910) 662-9500.

What is Adam Pflum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Adam Pflum enrolled in Medicare?

Yes. Adam Pflum 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 Pflum accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Adam Pflum 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 Pflum affiliated with any hospitals?

According to CMS data, Adam Pflum is affiliated with Onslow Memorial Hospital, Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Adam Pflum was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.