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: August 02, 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
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

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 (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.

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 15

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

Dental Hygienist
45 MUD CREEK RD
TROY, PA 16947
Nurse Practitioner (Family)
45 MUD CREEK RD
TROY, PA 16947
Physician Assistant
45 MUD CREEK RD
TROY, PA 16947
Dental Hygienist
45 MUD CREEK RD
TROY, PA 16947
Clinic/Center (Federally Qualified Health Center (FQHC))
45 MUD CREEK RD
TROY, PA 16947
Nurse Practitioner (Psychiatric/Mental Health)
45 MUD CREEK RD
TROY, PA 16947
Internal Medicine
45 MUD CREEK RD
TROY, PA 16947
Nurse Practitioner (Family)
45 MUD CREEK RD
TROY, PA 16947

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.

What insurance does Adam Hainley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers 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.