Jason Phillip Adams, D.O.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Farmington, NM
NPI 1255536686 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1255536686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- A-1678-12 (NM)
- Practice address
- 2700 Farmington Ave BLDG I-a
Farmington, NM 87401-4570 - Phone
- (505) 675-7070
- Fax
- (505) 675-2757
- NPI assigned
- Jun 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2700 Farmington Ave
BLDG I a
Farmington, NM 87401-4570
Phone (505) 675-7070
Hospital & facility affiliations
- San Juan Regional Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 11 |
| Melanoma (skin cancer) excision | 91 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 |
|---|---|---|---|---|
| I20121102000076 | NM | Practitioner - Plastic and Reconstructive Surgery |
0648420547 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239282 | NY | MD | Plastic Surgery Physician |
| A-1678-12 | NM | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams Plastic Surgery, PC | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
Locations
2700 Farmington Ave
Bldg Ia
Farmington, NM 87401
Phone (505) 327-1754
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 239282 | NY | |
| Surgery Physician | 208600000X | 239282 | NY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A-1678-12 | NM | Yes |
Addresses
Primary practice location
2700 Farmington Ave BLDG I-a
Farmington, NM 87401-4570
Mailing address
2700 Farmington Ave BLDG I-a
Farmington, NM 87401-4570
Phone (505) 675-7070
Other providers in Farmington, NM
- Katelyn Ackley
- Act Now DME LLC
- Activate Behavioral Health LLC
- Active Medical Group LLC
- Adams Plastic Surgery, PC
- Kathleen M Adams
- Rebecca Arline Adams
- Scott Adamson
- Adaptive Therapies LLC
- Akintunde Adegite
All providers in Farmington, NM · Plastic and Reconstructive Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. 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.