DOUGLAS ADER (DO, PA-C) – Emergency Medicine Physician, NPI 1235486838
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
236 EMERGENCY MEDICINE in DE
Provider Addresses for DOUGLAS ADER (DO, PA-C)
4755 Ogletown Stanton Rd
Newark, DE 197182200
Phone: (302) 733-3904
Type: Location
307 S EVERGREEN AVE
WOODBURY, NJ 080962739
Phone: (856) 686-4317
Type: Mailing
4755 OGLETOWN STANTON RD
NEWARK, DE 197182200
Phone: (302) 733-3904
Type: Location
161 COLONY PL
SWEDESBORO, NJ 080853117
Phone: (610) 517-8289
Type: Mailing
701 E MARSHALL ST
WEST CHESTER, PA 19380
Phone: (610) 431-5151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220708003679 | I | Emergency Medicine | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 700 | 673 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 509 | 484 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 388 | 380 | $0 |
| 99291 | Critical care, first 30-74 minutes | 144 | 142 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 55 | 54 | $0 |
Insurance plans in this area (ZIP 19718)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA | |
| - | PA | |
| - | PA | |
| Emergency Medicine | DE | |
| Emergency Medicine | PA | |
| - | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA |
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