PHILIP FRED ADLER (D.P.M.) – Podiatrist, NPI 1336109024

PHILIP FRED ADLER (D.P.M.) is a healthcare provider. based in Jacksonville, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. PO0000690 (FL). The NPI Number for PHILIP FRED ADLER (D.P.M.) is 1336109024

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP FRED ADLER (D.P.M.)
NPI
1336109024
Phone
(904) 731-1711
Address
3636 UNIVERSITY BLVD S
Enumeration Date
25 March 2006
Last Update Date
11 February 2010

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9047311711
Graduation Year
1973 (53 years ago)
PAC ID
0749225738
Group Practice PAC ID
0345416517
Professional Enrollment ID
I20050621000443
Address ID
FL322164250JA3636XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for PHILIP FRED ADLER (D.P.M.)

  • University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    BLDG C

    JACKSONVILLE, FL 322164250

    Phone: (904) 731-1711

    Fax: (904) 731-9270

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $497.

Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($125).

Total Amount

$497

General + Research + Ownership

Payments

17

Total payment records

General Amount

$497

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050621000443IPodiatryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes522189$0
11721Removal of fingernails or toenails, 6 or more nails310121$0
73620X-ray of foot, 2 views9655$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
11720Removal of fingernails or toenails, 1-5 nails5437$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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Provider's Procedures

PHILIP FRED ADLER (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11042Removal of skin and tissue first 20 sq cm or less4220

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345416517View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What number should I use to identify PHILIP FRED ADLER (D.P.M.) for billing?
Administrative and clinical systems typically use NPI 1336109024 for PHILIP FRED ADLER (D.P.M.).
Is PHILIP FRED ADLER (D.P.M.) currently accepting referrals based on NPI status?
Registry metadata lists PHILIP FRED ADLER (D.P.M.) as active.
What services align with PHILIP FRED ADLER (D.P.M.)'s listing?
PHILIP FRED ADLER (D.P.M.)'s public classification highlights Podiatrist. Clinical services aligned with this taxonomy classification.
Can patients visit PHILIP FRED ADLER (D.P.M.) in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for PHILIP FRED ADLER (D.P.M.), then verify phone and hours locally.
Can I export PHILIP FRED ADLER (D.P.M.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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