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ADAM BLAU M.D.
NPI 1922325679
Surgery in Stoneham, MA

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
91 MONTVALE AVE STE 208, STONEHAM, MA 02180(781) 620-4984(781) 438-3125 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2019, Aug 8, 2017, Mar 24, 2016 (3 updates tracked since 2016).

About Adam Blau M.d. NPPES

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

ADAM BLAU M.D. (NPI 1922325679) is an individual surgery provider in Stoneham, Massachusetts, licensed in Massachusetts (271330) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of University Of Texas Medical School At San Antonio (2010).

NPPES Registry Identity

NPI1922325679
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameADAM BLAUCredential: M.D.
Location Address91 MONTVALE AVE STE 208Stoneham, MA 02180-3649
Mailing Address91 Montvale Ave Ste 208Stoneham, MA 02180-3649 · (781) 620-4984 · Fax (781) 438-3125
Phone(781) 620-4984
Fax(781) 438-3125
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2010
Enumeration DateApril 20, 2010
Last NPPES UpdateOctober 3, 20193 updates tracked since enumeration
✔ NPI 1922325679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 271330
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
91 MONTVALE AVE STE 208, Stoneham, MA 02180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Adam Blau M.d. 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 ID3971892647
PECOS Enrollment IDI20170725002245
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 11

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.
114 services75 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.
74 services74 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.
64 services48 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.
42 services29 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.
31 services19 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02180 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers11 claims48 services$2.64 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.

DR. JENNIFER MARY LANE M.D.
Surgery
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (781) 306-6166
MS. DANIELLE DEMARCO PA-C
Physician Assistant
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (617) 636-6086
DR. ANDRAS SANDOR M.D.
Surgery
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (781) 418-1900
ARIANA JOSEPHINE DUCLOS RN
Registered Nurse
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (617) 636-6086

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 Blau's NPI number?

The NPI number for Adam Blau is 1922325679. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Adam Blau located?

Adam Blau practices at 91 Montvale Ave Ste 208, Stoneham, MA 02180. The listed phone number is (781) 620-4984.

What is Adam Blau's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Adam Blau enrolled in Medicare?

Yes. Adam Blau 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 Blau accept?

Health plans from Anthem Blue Cross and Blue Shield list Adam Blau 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 Blau affiliated with any hospitals?

According to CMS data, Adam Blau is affiliated with Melrosewakefield Healthcare and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Blau was last updated on October 3, 2019. 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.