DR. ADAM SAGARWALA D.O.
NPI 1932426616
Surgery - Vascular Surgery in York, PA

Q: What is Adam Sagarwala's NPI number?

The NPI number for Adam Sagarwala is 1932426616. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Q: What is Adam Sagarwala's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Adam Sagarwala was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

30 MONUMENT RD STE 1100, YORK, PA 17403(717) 851-6454(717) 851-1665 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Aug 6, 2024, Apr 9, 2024 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Adam Sagarwala D.o. NPPES

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

DR. ADAM SAGARWALA D.O. (NPI 1932426616) is an individual vascular surgery provider in York, Pennsylvania, licensed in Pennsylvania (OS023728) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1932426616

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. ADAM SAGARWALACredential: D.O.

Location Address30 MONUMENT RD STE 1100York, PA 17403-5024

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 851-6454

Fax(717) 851-1665

Sole ProprietorYes

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2005

Enumeration DateApril 21, 2010

Last NPPES UpdateApril 15, 20265 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1932426616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in PA · OS023728✔ Licensed in NJ · 25MB0944570✔ Licensed in VA · 0102204594

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 25MB0944570 (NJ)

30 MONUMENT RD STE 1100, York, PA 17403

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Secondary Practice Locations 3

Location 1252 S 4th St Fl 2Lebanon, PA 17042-6111 · Phone (717) 270-3751 · Fax (717) 270-3754

Location 2500 J Clyde Morris BlvdNewport News, VA 23601-1929 · Phone (757) 594-2000

Location 3179 N Reading RdEphrata, PA 17522-1647 · Phone (717) 738-0167 · Fax (717) 207-8626

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Sagarwala 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 ID2860788247

PECOS Enrollment IDI20190722002946, I20240819000635

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.

Medicare Billing Reassignments

Medicare enrollment records show Adam Sagarwala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group

Same address

Thoracic Surgery (Cardiothoracic Vascular Surgery)

30 MONUMENT ROAD, SUITE 1100
York, PA 17403

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1104988740 (717) 851-6454

Pulse Vascular, LLC

95 mi

Vascular & Interventional Radiology

994 W SHERMAN AVE BLDG 2
Vineland, NJ 08360

Reassigned Medicare billing, New Jersey enrollment
59 clinicians in this Medicare group

NPI 1255899704 (631) 534-7246

Barnabas Health Medical Group PC

142 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

Medical Associates Of Englewood, PC

160 mi

Internal Medicine

350 ENGLE ST
Englewood, NJ 07631

Reassigned Medicare billing, New Jersey enrollment
849 clinicians in this Medicare group

NPI 1952681918 (201) 608-2136

Riverside Physician Services Inc

173 mi

Hospice and Palliative Medicine

7580 HOSPITAL DR STE 201
Gloucester, VA 23061

Reassigned Medicare billing, Virginia enrollment
1,097 clinicians in this Medicare group

NPI 1679023428 (804) 695-8592

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

128 services88 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

87 services78 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.

85 services50 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.

70 services70 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

55 services41 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.

51 services11 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

47 services43 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

46 services45 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

44 services35 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

25 services20 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

21 services18 patients

Review by radiologist of both arms or legs arteries image 75716

This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.

20 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

20 services18 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

16 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310041

Location99 Rt 37 WestToms River, NJ 08755 · Ocean County

Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310075

Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County

Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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.

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.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651

DME-Other DME · category DE000N

1 supplier11 claims11 services$887.45 avg. paid by Medicare

Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667

DME-Other DME · category DE000N

1 supplier12 claims23 services$313.17 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 20

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

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