ADAM JAMES MAYBERRY PA
NPI 1902437296
Physician Assistant - Medical in Chicago, IL

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1500 S FAIRFIELD AVE, CHICAGO, IL 60608(312) 498-6037 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam James Mayberry Pa NPPES

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

ADAM JAMES MAYBERRY PA (NPI 1902437296) is an individual medical provider in Chicago, Illinois, licensed in Illinois (085007405) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902437296
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameADAM JAMES MAYBERRYCredential: PA
Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782
Mailing Address3051 W Lyndale StChicago, IL 60647-2811 · (312) 498-6037
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2020
NPI 1902437296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085007405
1500 S FAIRFIELD AVE, Chicago, IL 60608

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 James Mayberry Pa 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 ID9537597968
PECOS Enrollment IDI20200319000437
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

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.

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.
39 services21 patients

Hospital Affiliations CMS Care Compare

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

Other Providers at the Same Location NPPES 20

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

Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Nurse Practitioner (Family)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Obstetrics & Gynecology
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Surgery
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Internal Medicine
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Student in an Organized Health Care Education/Training Program
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Psychologist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608

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 Mayberry's NPI number?

The NPI number for Adam Mayberry is 1902437296. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Adam Mayberry located?

Adam Mayberry practices at 1500 S Fairfield Ave, Chicago, IL 60608. The listed phone number is (312) 498-6037.

What is Adam Mayberry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Adam Mayberry enrolled in Medicare?

Yes. Adam Mayberry 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.

Is Adam Mayberry affiliated with any hospitals?

According to CMS data, Adam Mayberry is affiliated with Mt Sinai Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Mayberry was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.