JEFFERY R ADAMS (MD) – Otolaryngology Physician, NPI 1104891175

JEFFERY R ADAMS (MD) is a healthcare provider. based in Everett, Washington. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD00039990 (WA). The NPI Number for JEFFERY R ADAMS (MD) is 1104891175

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERY R ADAMS (MD)
NPI
1104891175
Phone
(425) 258-3900
Address
PO BOX 5127
Enumeration Date
22 February 2006
Last Update Date
6 December 2016

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4253393930
Graduation Year
1995 (31 years ago)
PAC ID
4183740954
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20100929000953
Address ID
WA982014833EV3927XAVEX300
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

321 OTOLARYNGOLOGY in WA

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Provider Addresses for JEFFERY R ADAMS (MD)

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (425) 258-3900

    Type: Mailing

  • Gunderson Building, 3927, Rucker Avenue, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982014833

    Phone: (425) 339-5441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,567.

Total Amount is formed as General ($1,567) + Research ($0) + Ownership ($0) = $1,567.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Medtronic, Inc. ($1,369).

Total Amount

$1,567

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2010-09-29

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
I20100929000953IOtolaryngologyWATBD

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 minutes7260$0
99214Established patient office or other outpatient visit, 30-39 minutes4642$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
31575Diagnostic exam of voice box using a flexible endoscope3633$0
92504Exam of ear using a microscope3227$0
View full utilization report →

Insurance plans in this area (ZIP 98206)

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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: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
Emergency MedicineOR
Family PracticeWA

Reviews

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Frequently asked questions

What number should I use to identify JEFFERY R ADAMS (MD) for billing?
Administrative and clinical systems typically use NPI 1104891175 for JEFFERY R ADAMS (MD).
Quick check: is JEFFERY R ADAMS (MD) active?
Public NPPES data shows JEFFERY R ADAMS (MD) with an active NPI status right now.
What services align with JEFFERY R ADAMS (MD)'s listing?
JEFFERY R ADAMS (MD)'s public classification highlights Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is JEFFERY R ADAMS (MD) tied to Everett, Washington?
If you are local to Everett, Washington, JEFFERY R ADAMS (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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