DR. ADAM LESTER ESHAM MD
NPI 1801090469
Urology in Chillicothe, OH

Q: What is Adam Esham's NPI number?

The NPI number for Adam Esham is 1801090469. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Q: What is Adam Esham's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Esham was last updated on January 25, 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.

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment

83.28/100

CMS Quality Rating

4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 45601(740) 779-4370(740) 779-4379 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Adam Lester Esham Md NPPES

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

DR. ADAM LESTER ESHAM MD (NPI 1801090469) is an individual urology provider in Chillicothe, Ohio, licensed in Ohio (35.097987) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (2006).

NPPES Registry Identity

NPI1801090469

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ADAM LESTER ESHAMCredential: MD

Location Address4439 STATE ROUTE 159 STE 260Chillicothe, OH 45601-7502

Mailing Address4439 State Route 159 Ste 260Chillicothe, OH 45601-7502 · (740) 779-4370 · Fax (740) 779-4379

Phone(740) 779-4370

Fax(740) 779-4379

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2006

Enumeration DateJune 14, 2007

Last NPPES UpdateJanuary 25, 2023

NPPES CertifiedJanuary 25, 2023

✔ NPI 1801090469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in OH · 35.097987

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4439 STATE ROUTE 159 STE 260, Chillicothe, OH 45601

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Other Identifiers 2

Other3859623985Myutmb 3859623985-commercial Number

Medicaid0067685OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.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 Lester Esham 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 ID7012164965

PECOS Enrollment IDI20120828000419

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 16

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 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.

212 services170 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.

160 services124 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

91 services71 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

58 services30 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.

50 services50 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.

44 services44 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

36 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

24 services24 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

20 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

18 services17 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

14 services11 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.

14 services14 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

13 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

11 services11 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360008

Location1805 27th StreetPortsmouth, OH 45662 · Scioto County

Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360159

Location272 Hospital RoadChillicothe, OH 45601 · Ross County

Emergency services Birthing friendly

Greenfield Area Medical Center

Critical Access Hospitals · Greenfield, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361304

Location550 Mirabeau StreetGreenfield, OH 45123 · Highland County

Emergency services

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH

OwnershipGovernment - Local

CMS Certification Number361331

Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County

Emergency services

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361334

Location100 Dawn LaneWaverly, OH 45690 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

83.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

58.73

Promoting Interoperability

100

Improvement Activities

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers11 claims3,060 services$1.59 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers14 claims3,114 services$5.28 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 4

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

MATTHEW W CHRISTIAN M.D.

Urology

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-4370

MARIYA LARSON APRN

Nurse Practitioner

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-4370

STEPHEN CORNELIUS JOHNSON M.D.

Urology

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-4370

DR. LIJU JOHN M.D.

Physical Medicine & Rehabilitation

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-7460

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 Esham's NPI number?

The NPI number for Adam Esham is 1801090469. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Adam Esham located?

Adam Esham practices at 4439 State Route 159 Ste 260, Chillicothe, OH 45601. The listed phone number is (740) 779-4370.

What is Adam Esham's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Adam Esham enrolled in Medicare?

Yes. Adam Esham 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 Esham accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Adam Esham 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 Esham affiliated with any hospitals?

According to CMS data, Adam Esham is affiliated with Southern Ohio Medical Center, Adena Regional Medical Center, Greenfield Area Medical Center, Adena Fayette Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Esham was last updated on January 25, 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.