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ANDREW JAY ADELSON M.D.
NPI 1932107018
Ophthalmology in Washington, DC

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
91.49/100
CMS Quality Rating
1155 21ST ST NW, LBBY M400, WASHINGTON, DC 20036(202) 496-9181(202) 496-9180 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Jay Adelson M.d. NPPES

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

ANDREW JAY ADELSON M.D. (NPI 1932107018) is an individual ophthalmology provider in Washington, District Of Columbia, licensed in District Of Columbia (14897) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1982).

NPPES Registry Identity

NPI1932107018
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANDREW JAY ADELSONCredential: M.D.
Location Address1155 21ST ST NW, LBBY M400Washington, DC 20036-3336
Mailing Address1155 21st St Nw, Lbby M400Washington, DC 20036-3336 · (202) 496-9181 · Fax (202) 496-9180
Phone(202) 496-9181
Fax(202) 496-9180
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1982
Enumeration DateJuly 12, 2005
Last NPPES UpdateJanuary 11, 2017
✔ NPI 1932107018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in DC · 14897✔ Licensed in MD · D0036917✔ Licensed in DC · MD14897
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1155 21ST ST NW, Washington, DC 20036
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Other Identifiers 2

Medicare PIN402665
Medicare UPINE63721

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

Andrew Jay Adelson 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 ID5890795686
PECOS Enrollment IDI20061229000082
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 13

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.
759 services461 patients
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.
736 services614 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
389 services371 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
375 services357 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
130 services130 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.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20036 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

91.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.73
Improvement Activities40
Cost100

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
99%79 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Andrew Adelson's NPI number?

The NPI number for Andrew Adelson is 1932107018. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Andrew Adelson located?

Andrew Adelson practices at 1155 21st St NW Lbby M400, Washington, DC 20036. The listed phone number is (202) 496-9181.

What is Andrew Adelson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Andrew Adelson enrolled in Medicare?

Yes. Andrew Adelson 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.

When was this NPI record last updated?

The NPPES record for Andrew Adelson was last updated on January 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.