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DR. ADAM HAINLEY D.M.D.
NPI 1801264312
Dentist in Troy, PA

Active since September 14, 2015PECOS Enrolled
45 MUD CREEK RD, TROY, PA 16947(570) 297-3746 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 14, 2023, Nov 14, 2016 (2 updates tracked since 2016).

About Dr. Adam Hainley D.m.d. NPPES

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

DR. ADAM HAINLEY D.M.D. (NPI 1801264312) is an individual dentist in Troy, Pennsylvania, licensed in Pennsylvania (DS040347) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801264312
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ADAM HAINLEYCredential: D.M.D.
Location Address45 MUD CREEK RDTroy, PA 16947-9529
Mailing Address40 W Wellsboro StMansfield, PA 16933-1411 · (570) 662-1945
Phone(570) 297-3746
Sole ProprietorNo
Enumeration DateSeptember 14, 2015
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1801264312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS040347
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
45 MUD CREEK RD, Troy, PA 16947
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

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 Hainley D.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 Reassignment

Medicare enrollment records show Adam Hainley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Penn Comprehensive Health Services
Same address
Federally Qualified Health Center (FQHC)
45 MUD CREEK RD
Troy, PA 16947
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 clinicians in this Medicare group
NPI 1417536285 (570) 297-3746

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 16947 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 16

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

JANEE P OVERPECK RDH
Dental Hygienist
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 297-3746
COURTNEY BURNS
Physician Assistant (Medical)
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 662-1945
MAUREEN D. STROBEL FNP-C
Nurse Practitioner (Family)
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 297-3746
TANNER R. BULKLEY PA-C
Physician Assistant
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 297-3746
ANDREA PEPPER RDH
Dental Hygienist
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 297-3746
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 297-3746
JENNY SPARLING CRNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 297-3746
CYNTHIA ANN MEYER D.O.
Internal Medicine
45 MUD CREEK RD
TROY, PA 16947
Bradford County (570) 297-3746

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 Hainley's NPI number?

The NPI number for Adam Hainley is 1801264312. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Adam Hainley located?

Adam Hainley practices at 45 Mud Creek Rd, Troy, PA 16947. The listed phone number is (570) 297-3746.

What is Adam Hainley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Adam Hainley enrolled in Medicare?

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

Which organization bills Medicare for Adam Hainley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Hainley reassigns Medicare benefits to North Penn Comprehensive Health Services (Troy, PA). The 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 Hainley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Hainley accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Adam Hainley 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 Hainley was last updated on July 14, 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.