DAVID JERRY ADDLEY D.O.
NPI 1881767374
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
2630 HOLME AVE STE 200, PHILADELPHIA, PA 19152(215) 332-3972(215) 331-3784 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Jerry Addley D.o. NPPES

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

DAVID JERRY ADDLEY D.O. (NPI 1881767374) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS009667L) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1881767374
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDAVID JERRY ADDLEYCredential: D.O.
Location Address2630 HOLME AVE STE 200Philadelphia, PA 19152-3004
Mailing Address5249 Cedar Ave, Suite APhiladelphia, PA 19143-1524 · (215) 471-1817 · Fax (215) 471-5089
Fax(215) 331-3784
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1996
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 27, 2021
NPPES CertifiedApril 27, 2021
NPI 1881767374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · OS009667L
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.

2630 HOLME AVE STE 200, Philadelphia, PA 19152

Secondary Practice Location 1

Location 15249 Cedar Ave, Suite APhiladelphia, PA 19143-1524 · Phone (215) 471-1817 · Fax (215) 471-5089

Other Identifiers 1

Medicaid001914850PA

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

David Jerry Addley D.o. 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 ID4880737345
PECOS Enrollment IDI20231109001429
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 17

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.
267 services149 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.
188 services123 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
172 services170 patients
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.
90 services85 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.
86 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
84 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19152 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 7

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

Internal Medicine (Cardiovascular Disease)
2630 HOLME AVE STE 200
PHILA, PA 19152
Internal Medicine (Cardiovascular Disease)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
Orthopaedic Surgery
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
Internal Medicine (Interventional Cardiology)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
Internal Medicine (Clinical Cardiac Electrophysiology)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
Internal Medicine (Cardiovascular Disease)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2630 HOLME AVE STE 200
PHILADELPHIA, PA 19152

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 David Addley's NPI number?

The NPI number for David Addley is 1881767374. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is David Addley located?

David Addley practices at 2630 Holme Ave Ste 200, Philadelphia, PA 19152. The listed phone number is (215) 332-3972.

What is David Addley's specialty?

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

Is David Addley enrolled in Medicare?

Yes. David Addley 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 David Addley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list David Addley 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 David Addley affiliated with any hospitals?

According to CMS data, David Addley is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for David Addley was last updated on April 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.