Eric A Adelman, D.O.
Individual provider Active NPI MOHS-Micrographic Surgery Physician · Georgetown, TX
NPI 1194766444 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1194766444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- MOHS-Micrographic Surgery Physician 207ND0101X
- License
- M5607 (TX)
- Practice address
- 4513 Williams Dr
Georgetown, TX 78633-1302 - Phone
- (512) 930-3909
- Fax
- (512) 869-5868
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tucson Dermatology LTD
Practice addresses (Care Compare)
6565 E Carondelet Dr
Suite 145
Tucson, AZ 85710-3545
Phone (520) 886-4199
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.62 of 100
- Quality
- 85.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 748 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 2330 |
| Removal of skin cancer | 1488 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1444 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080303000485 | TX | Practitioner - Dermatology | 7012939655 | |
| I20240516002186 | AZ | Practitioner - Dermatology | 7012939655 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5607 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Dermatology LTD | Dermatology | Current |
Accepting new patients |
| Austin Dermpath Associates | Current | Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past |
Accepting new patients |
Locations
1521 E Tangerine Rd
Ste 205
Oro Valley, AZ 85755
Phone (520) 531-0060
6565 E Carondelet Dr
Ste 145
Tucson, AZ 85710
Phone (520) 886-4199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | M5607 | TX | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | M5607 | TX | Yes |
Addresses
Primary practice location
4513 Williams Dr
Georgetown, TX 78633-1302
Mailing address
4513 Williams Dr
Georgetown, TX 78633-1302
Phone (512) 930-3909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289389301 | Medicaid | TX |
Other providers in Georgetown, TX
- Jayna Elise Adams
- Kristen Adams
- Adaptive Path Learning Collective
- Nigel Andrew Adashefski
- Jewel Akoto Addo
- Harold F. Adelman
- Janet T Adeniji
- Aders & Associates, LLC
- Adira Counseling PLLC
- Adjusting Compass Counseling Services
All providers in Georgetown, TX · MOHS-Micrographic Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.