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ADAM S BROWNSTEIN M.D.
NPI 1700862737
Family Medicine in Milton, DE

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
611 FEDERAL ST, MILTON, DE 19968(302) 329-9616(302) 422-6214 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2021, Dec 31, 2015 (2 updates tracked since 2015).

About Adam S Brownstein M.d. NPPES

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

ADAM S BROWNSTEIN M.D. (NPI 1700862737) is an individual family medicine provider in Milton, Delaware, licensed in Delaware (C10006979) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2000).

NPPES Registry Identity

NPI1700862737
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM S BROWNSTEINCredential: M.D.
Location Address611 FEDERAL STMilton, DE 19968-1157
Mailing Address611 Federal StMilton, DE 19968-1157 · (302) 329-9616
Phone(302) 329-9616
Fax(302) 422-6214
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2000
Enumeration DateDecember 21, 2005
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1700862737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C10006979
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
611 FEDERAL ST, Milton, DE 19968
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Other Identifiers 1

Medicaid1000024361DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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 S Brownstein 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 ID5294636486
PECOS Enrollment IDI20040120000492
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 3

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.

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.
269 services119 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.
87 services62 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19968 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%5,931 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
70%432 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%371 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
24%1,292 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
63%1,292 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%1,292 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%1,292 patients
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims38 services$5.93 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 6

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

RICHARD ANDREW RECICAR MPT
Physical Therapist
611 FEDERAL ST, SUITE 1
MILTON, DE 19968
Sussex County (410) 822-4613
FUNCTIONAL CHIROPRACTIC LLC
Chiropractor
611 FEDERAL ST, STE 5
MILTON, DE 19968
Sussex County (302) 684-1995
CARRIE LEWIS BODIN MPT
Physical Therapist
611 FEDERAL ST
MILTON, DE 19968
Sussex County (302) 684-2829
MELVIN L MORSE MD
Pediatrics
611 FEDERAL ST, SUITE 3
MILTON, DE 19968
Sussex County (302) 684-1119
DR. JOHN WILLIAM REES JR. D.C.
Chiropractor
611 FEDERAL ST, SUITE 5
MILTON, DE 19968
Sussex County (302) 684-1995
COASTLINE MEDICAL WALK IN CENTER
Clinic/Center (Urgent Care)
611 FEDERAL ST, SUITE 5
MILTON, DE 19968
Sussex County (302) 329-9046

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 Brownstein's NPI number?

The NPI number for Adam Brownstein is 1700862737. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Adam Brownstein located?

Adam Brownstein practices at 611 Federal St, Milton, DE 19968. The listed phone number is (302) 329-9616.

What is Adam Brownstein's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam Brownstein enrolled in Medicare?

Yes. Adam Brownstein 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 Brownstein accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Adam Brownstein 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.

When was this NPI record last updated?

The NPPES record for Adam Brownstein was last updated on August 4, 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.