GREGG A ADAMS MD
NPI 1720175268
Surgery in San Jose, CA
Quality Rating: 85.48 out of 100 score
NPI Status: Active since October 06, 2006
Contact Information
751 S BASCOM AVE
GENERAL SURGERY DEPT
SAN JOSE, CA
ZIP 95128
Phone: (408) 885-6060
- Individual
- Male
- Years of Experience 38
- Surgery
- Accepts Medicare Approved Payment
- PECOS Enrolled
About GREGG ADAMS
This page provides the complete NPI Profile along with additional information for Gregg Adams, a provider established in San Jose, California with a medical specialization in Surgery and more than 38 years of experience. He graduated from Oregon Health Sciences University School Of Medicine in 1988. The healthcare provider is registered in the NPI registry with number 1720175268 assigned on October 2006. The practitioner's primary taxonomy code is 208600000X with license number G70824 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1720175268
- Provider Name
- GREGG A ADAMS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 751 S BASCOM AVE GENERAL SURGERY DEPT SAN JOSE, CA 95128
- Location Phone
- (408) 885-6060
- Mailing Address
- 751 S BASCOM AVE GENERAL SUGERY DEPT SAN JOSE, CA 95128
- Mailing Phone
- (408) 885-5000
- Medical School Name
- OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-06-2006
- Last Update Date
- 09-10-2007
- Code Navigator
A surgeon like Gregg Adams treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G70824
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | G70824 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
F40780 | MEDICARE UPIN (02) | CA | |
00G708240 | MEDICAID (05) | CA | |
00G708240 | MEDICARE PIN (08) | CA |
Medicare Participation & PECOS Enrollment Status
Gregg Adams is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Gregg Adams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4981757325
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090731000510
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 10-19 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Hospital discharge day management, 30 minutes or less
Initial hospital inpatient care per day, typically 50 minutes
Telephone medical discussion with physician, 11-20 minutes
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 15 times for 12 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 97 times for 47 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 14 times for 14 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 16 times for 16 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $26.61 for a new patient copayment and $21.64 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95128 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $106.47
- Minimum New Patient Price $70.37
- Maximum New Patient Price $206.04
- Average New Patient Copayment $26.61
- Minimum New Patient Copayment $17.59
- Maximum New Patient Copayment $51.51
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $86.56
- Minimum Established Patient Price $23.96
- Maximum Established Patient Price $169.6
- Average Established Patient Copayment $21.64
- Minimum Established Patient Copayment $5.99
- Maximum Established Patient Copayment $42.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.48, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 85.48 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 76.22
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 52.53
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 52.53
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 2 | 0 | 1 | 7 | 5 | 2 | 6 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 4 | 0 | 2 | 7 | 10 | 2 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 4 + 0 + 2 + 7 + 1 + 0 + 2 + 1 + 2 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1720175268 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1568454866 | MR. ERIC BOWEN CALL NP Individual | Nurse Practitioner | 751 S BASCOM AVE LABOR & DELIVERY SAN JOSE, CA 95128 (408) 885-6400 |
1295720613 | DR. ALFONSO F BANUELOS MD Individual | Internal Medicine | 751 S BASCOM AVE HOSPITAL ADMINISTRATION SAN JOSE, CA 95128 (408) 885-4001 |
1558343632 | PRACHI S BHISE MD Individual | Pediatrics | 751 S BASCOM AVE SAN JOSE, CA 95128 (408) 885-5000 |
1811970973 | DR. JENNY DAI BILLER M.D. Individual | Obstetrics & Gynecology | 751 S BASCOM AVE DEPARTMENT OF OB/GYN SAN JOSE, CA 95128 (408) 885-5550 |
1710962998 | EDWARD KIRK NEELY MD Individual | Pediatrics (Pediatric Endocrinology) | 751 S BASCOM AVE SAN JOSE, CA 95128 (408) 885-7422 |
1225008394 | SANGEETA AGGARWAL MD Individual | Internal Medicine | 751 S BASCOM AVE ONCOLOGY DEPT SAN JOSE, CA 95128 (408) 885-5000 |
1790757441 | ABOLGHASEM ABDOLI MD Individual | Pediatrics | 751 S BASCOM AVE PEDIATRICS DEPT SAN JOSE, CA 95128 (408) 885-6616 |
1154393809 | CHRISTINA GABRIELA ANDERSON MD Individual | Pediatrics | 751 S BASCOM AVE NEONATOLOGY DEPT SAN JOSE, CA 95128 (408) 885-5420 |
1790757219 | CATHY DUGAR ANGELL MD Individual | Pediatrics | 751 S BASCOM AVE NEONATOLOGY DEPT SAN JOSE, CA 95128 (408) 885-5420 |
1316919830 | ROBERT WILLIAM REID ARCHIBALD MBCHB Individual | Pathology (Anatomic Pathology) | 751 S BASCOM AVE PATHOLOGY DEPT SAN JOSE, CA 95128 (408) 885-6553 |
1174596621 | HOLLISTER PETER BREWSTER MD Individual | Internal Medicine | 751 S BASCOM AVE CARDIOLOGY DEPT SAN JOSE, CA 95128 (408) 885-4373 |
1922070440 | RAYMOND LEE AZZI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 751 S BASCOM AVE PATHOLOGY DEPT SAN JOSE, CA 95128 (408) 885-6552 |
1437122975 | LEE ANNA SCHWARTZ BOTKIN MD Individual | Pediatrics | 751 S BASCOM AVE PEDIATRICS DEPT SAN JOSE, CA 95128 (408) 885-5445 |
1588637037 | MICHAEL ALLEN BRESSACK MD Individual | Pediatrics | 751 S BASCOM AVE PEDIATRICS DEPT SAN JOSE, CA 95128 (408) 885-5405 |
1740253244 | MARK R BRUGUERA PHD Individual | Psychologist (Forensic) | 751 S BASCOM AVE MAIN JAIL-PSYCHOLOGY SAN JOSE, CA 95128 (408) 808-5212 |
1285607572 | BALVEER SINGH BHATI MD Individual | Anesthesiology | 751 S BASCOM AVE ANESTHESIOLOGY DEPT SAN JOSE, CA 95128 (408) 885-5745 |
1679546766 | MICHAEL H BERLLY MD Individual | Physical Medicine & Rehabilitation | 751 S BASCOM AVE PM&R DEPT SAN JOSE, CA 95128 (408) 885-2021 |
1063485167 | KATHERINE ARDIS BLENKO MD Individual | Obstetrics & Gynecology | 751 S BASCOM AVE OB/GYN DEPT SAN JOSE, CA 95128 (408) 885-5550 |
1447223276 | NEIL SAMUEL ADLER PA Individual | Physician Assistant (Surgical) | 751 S BASCOM AVE SAN JOSE, CA 95128 (408) 885-5000 |
1689649287 | DOLLY CHANDRA GOEL MD Individual | Internal Medicine | 751 S BASCOM AVE MEDICAL ADMINISTRATION SAN JOSE, CA 95128 (408) 885-5105 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720175268, enumerated in the NPI registry as an "individual" on October 06, 2006
The provider is located at 751 S Bascom Ave General Surgery Dept San Jose, Ca 95128 and the phone number is (408) 885-6060
The provider's speciality is Surgery with taxonomy code 208600000X
The provider has more than 38 years of experience. He graduated from Oregon Health Sciences University School Of Medicine in 1988.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $106.47 with an average copayment of $26.61 for new patient appointments. Established patients should expect a typical charge of $86.56 and an average copayment of 21.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Hospital discharge day management, 30 minutes or less, Initial hospital inpatient care per day, typically 50 minutes and Telephone medical discussion with physician, 11-20 minutes.
This NPI record was last updated on October 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.