Dr. Jack H Adler , MD
Internal Medicine • Bristol, CT
Professional Overview & Biography Verified Profile Summary
Dr. Jack Adler, MD is a registered healthcare professional specializing in Internal Medicine in Bristol, CT. Practice services are available at 621 TERRYVILLE AVE under active NPI credentials.
Frequently performed procedures and clinical services include established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
621 Terryville Ave
Bristol, CT 060104078
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Bristol, CT
Practicing in Bristol, CT (2753 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
305 | 68 | $199.56 | $63.52 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
103 | 44 | $280.68 | $93.45 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
58 | 25 | $233.68 | $32.89 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
20 | 20 | $362.45 | $130.83 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
263 | 73 | $173.00 | $69.70 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
159 | 55 | $245.00 | $102.95 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
114 | 35 | $215.36 | $37.36 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
50 | 21 | $272.00 | $63.01 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
23 | 23 | $317.00 | $140.87 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
462 | 132 | $210.00 | $126.13 |
|
80053
Blood test, comprehensive group of blood chemicals
|
86 | 64 | $35.00 | $10.50 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
85 | 65 | $66.00 | $13.32 |
|
36415
Insertion of needle into vein for collection of blood sample
|
84 | 56 | $18.00 | $2.98 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
83 | 27 | $245.00 | $103.55 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
80 | 34 | $173.00 | $70.53 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
80 | 21 | $179.00 | $38.45 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
74 | 18 | $215.36 | $38.07 |
|
83036
Hemoglobin A1C level
|
70 | 51 | $35.00 | $9.65 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
69 | 35 | $143.00 | $78.71 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
43 | 43 | $253.00 | $142.00 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
18 | 18 | $22.00 | $5.15 |
|
82043
Urine microalbumin (protein) level
|
18 | 18 | $27.00 | $5.75 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
11 | 11 | $321.00 | $144.07 |
|
0054A
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose
|
11 | 11 | $48.00 | $42.87 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
717 | 148 | $207.03 | $128.63 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
123 | 48 | $140.92 | $79.89 |
|
80053
Blood test, comprehensive group of blood chemicals
|
119 | 71 | $35.00 | $10.56 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
115 | 68 | $66.00 | $13.39 |
|
36415
Insertion of needle into vein for collection of blood sample
|
105 | 58 | $18.00 | $3.00 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
99 | 22 | $174.27 | $38.39 |
|
83036
Hemoglobin A1C level
|
77 | 47 | $35.00 | $9.71 |
|
G0008
Administration of influenza virus vaccine
|
70 | 70 | $51.00 | $18.53 |
|
99183
Management and supervision of oxygen chamber therapy per session
|
68 | 11 | $458.00 | $116.21 |
|
90662
Influenza vaccine split virus, preservative free
|
64 | 64 | $67.00 | $65.26 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
54 | 54 | $253.00 | $144.57 |
|
82043
Urine microalbumin (protein) level
|
29 | 25 | $27.00 | $5.78 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
25 | 23 | $22.00 | $5.18 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
21 | 20 | $55.52 | $16.27 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
21 | 20 | $27.00 | $7.77 |
|
81002
Urinalysis, manual test
|
19 | 17 | $12.00 | $3.48 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
16 | 16 | $318.50 | $157.34 |
|
82306
Vitamin d-3 level
|
14 | 14 | $97.00 | $29.60 |
|
0004A
Fee covid-19 vac 1 res
|
12 | 12 | $48.00 | $43.50 |
|
82272
Stool analysis for blood
|
12 | 11 | $12.00 | $4.23 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
472 | 151 | $197.37 | $113.21 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
366 | 75 | $133.94 | $59.48 |
|
36415
Insertion of needle into vein for collection of blood sample
|
187 | 83 | $18.00 | $2.97 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
159 | 83 | $61.25 | $13.27 |
|
83036
Hemoglobin A1C level
|
123 | 66 | $35.00 | $9.62 |
|
80053
Blood test, comprehensive group of blood chemicals
|
115 | 73 | $34.19 | $10.49 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
108 | 23 | $166.00 | $40.18 |
|
99183
Management and supervision of oxygen chamber therapy per session
|
89 | 11 | $458.00 | $121.27 |
|
G0008
Administration of influenza virus vaccine
|
82 | 80 | $50.00 | $18.32 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
53 | 53 | $253.00 | $127.63 |
|
90662
Influenza vaccine split virus, preservative free
|
50 | 50 | $67.00 | $60.98 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
48 | 42 | $90.00 | $82.24 |
|
82947
Blood glucose (sugar) level
|
45 | 44 | $12.24 | $3.87 |
|
82306
Vitamin d-3 level
|
43 | 35 | $97.00 | $29.19 |
|
84450
Liver enzyme (sgot), level
|
38 | 36 | $17.00 | $5.10 |
|
82565
Blood creatinine level
|
35 | 35 | $17.00 | $5.04 |
|
90686
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
32 | 32 | $25.00 | $19.55 |
|
80051
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
|
31 | 31 | $24.00 | $6.90 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
17 | 17 | $305.71 | $143.16 |
|
86803
Hepatitis c antibody measurement
|
16 | 15 | $50.00 | $14.27 |
|
81002
Urinalysis, manual test
|
16 | 13 | $12.00 | $3.45 |
|
82043
Urine microalbumin (protein) level
|
15 | 15 | $27.00 | $5.76 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
14 | 12 | $227.64 | $67.66 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
13 | 12 | $26.23 | $7.71 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
13 | 11 | $54.69 | $18.90 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
12 | 11 | $54.83 | $16.74 |
|
82272
Stool analysis for blood
|
11 | 11 | $12.00 | $4.22 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
545 | 154 | $181.00 | $115.57 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
502 | 91 | $122.00 | $59.29 |
|
36415
Insertion of needle into vein for collection of blood sample
|
239 | 83 | $18.00 | $2.94 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
210 | 81 | $54.00 | $14.58 |
|
84450
Liver enzyme (sgot), level
|
184 | 74 | $17.00 | $5.63 |
|
82947
Blood glucose (sugar) level
|
181 | 76 | $12.00 | $4.28 |
|
83036
Hemoglobin A1C level
|
173 | 66 | $35.00 | $10.57 |
|
82565
Blood creatinine level
|
164 | 66 | $17.00 | $5.58 |
|
80051
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
|
156 | 61 | $24.00 | $7.63 |
|
82306
Vitamin d-3 level
|
103 | 40 | $97.00 | $32.23 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
96 | 26 | $166.00 | $25.65 |
|
G0008
Administration of influenza virus vaccine
|
73 | 73 | $50.00 | $17.96 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
56 | 56 | $253.00 | $126.84 |
|
90686
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
55 | 55 | $25.00 | $18.65 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
36 | 30 | $25.00 | $8.46 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
27 | 27 | $281.00 | $147.63 |
|
80053
Blood test, comprehensive group of blood chemicals
|
25 | 22 | $32.00 | $11.51 |
|
81002
Urinalysis, manual test
|
22 | 20 | $12.00 | $3.41 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
19 | 19 | $54.00 | $18.75 |
|
G0009
Administration of pneumococcal vaccine
|
16 | 16 | $50.00 | $17.96 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
15 | 15 | $60.00 | $54.89 |
|
90670
Pneumococcal vaccine for injection into muscle
|
15 | 15 | $259.00 | $211.02 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
14 | 11 | $54.00 | $18.30 |
|
84439
Thyroxine (thyroid chemical), free
|
14 | 11 | $29.00 | $9.82 |
|
82043
Urine microalbumin (protein) level
|
14 | 14 | $27.00 | $6.29 |
|
69210
Removal of impacted ear wax
|
11 | 11 | $144.00 | $51.99 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
588 | 154 | $181.00 | $112.31 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
325 | 83 | $122.00 | $61.21 |
|
36415
Insertion of needle into vein for collection of blood sample
|
247 | 91 | $18.00 | $2.94 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
216 | 88 | $54.00 | $16.20 |
|
82947
Blood glucose (sugar) level
|
183 | 75 | $12.00 | $4.75 |
|
84450
Liver enzyme (sgot), level
|
174 | 70 | $17.00 | $6.26 |
|
83036
Hemoglobin A1C level
|
172 | 73 | $35.00 | $11.75 |
|
82565
Blood creatinine level
|
168 | 71 | $17.00 | $6.20 |
|
80051
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
|
156 | 66 | $24.00 | $8.49 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
132 | 40 | $163.00 | $97.60 |
|
99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
|
102 | 22 | $116.00 | $73.96 |
|
82306
Vitamin d-3 level
|
82 | 44 | $97.00 | $35.82 |
|
G0008
Administration of influenza virus vaccine
|
79 | 79 | $50.00 | $22.26 |
|
90686
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
79 | 79 | $25.00 | $18.65 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
47 | 38 | $25.00 | $9.20 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
42 | 42 | $253.00 | $125.55 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
38 | 37 | $276.00 | $177.02 |
|
80053
Blood test, comprehensive group of blood chemicals
|
34 | 30 | $32.00 | $12.40 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
24 | 21 | $54.00 | $20.33 |
|
81002
Urinalysis, manual test
|
23 | 21 | $12.00 | $3.41 |
|
99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
|
23 | 18 | $218.00 | $138.54 |
|
84439
Thyroxine (thyroid chemical), free
|
22 | 19 | $29.00 | $10.91 |
|
82272
Stool analysis for blood
|
21 | 21 | $12.00 | $4.15 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
21 | 19 | $54.00 | $18.46 |
|
82043
Urine microalbumin (protein) level
|
18 | 17 | $27.00 | $7.00 |
|
87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
|
15 | 14 | $37.00 | $16.20 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $281.00 | $164.54 |
|
69210
Removal of impacted ear wax
|
13 | 13 | $136.31 | $52.75 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
994 | 193 | $180.99 | $108.20 |
|
36415
Insertion of needle into vein for collection of blood sample
|
344 | 107 | $18.00 | $2.94 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
264 | 103 | $54.00 | $11.24 |
|
82947
Blood glucose (sugar) level
|
222 | 96 | $12.00 | $2.36 |
|
82565
Blood creatinine level
|
220 | 91 | $17.00 | $3.24 |
|
80051
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
|
213 | 87 | $24.00 | $4.59 |
|
84450
Liver enzyme (sgot), level
|
209 | 94 | $17.00 | $3.33 |
|
83036
Hemoglobin A1C level
|
198 | 79 | $32.25 | $13.05 |
|
99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
|
188 | 44 | $116.00 | $73.51 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
118 | 53 | $163.00 | $97.15 |
|
G0008
Administration of influenza virus vaccine
|
102 | 101 | $50.00 | $27.77 |
|
90686
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
97 | 97 | $25.00 | $18.65 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
92 | 50 | $122.64 | $63.23 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
76 | 76 | $253.00 | $124.34 |
|
82306
Vitamin d-3 level
|
67 | 37 | $97.00 | $39.80 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
62 | 54 | $276.00 | $176.53 |
|
85610
Blood test, clotting time
|
53 | 11 | $12.00 | $5.28 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
50 | 43 | $25.00 | $10.45 |
|
80053
Blood test, comprehensive group of blood chemicals
|
46 | 37 | $32.00 | $11.44 |
|
81002
Urinalysis, manual test
|
41 | 28 | $12.00 | $3.43 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
40 | 35 | $54.00 | $18.25 |
|
97597
Removal of tissue from wound, 20.0 sq cm or less
|
37 | 16 | $166.00 | $24.44 |
|
82272
Stool analysis for blood
|
35 | 29 | $12.00 | $4.17 |
|
87086
Bacterial colony count, urine
|
29 | 20 | $26.00 | $10.85 |
|
82043
Urine microalbumin (protein) level
|
28 | 27 | $27.00 | $7.77 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
21 | 17 | $54.00 | $22.59 |
|
84439
Thyroxine (thyroid chemical), free
|
21 | 17 | $29.00 | $12.12 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
18 | 18 | $281.00 | $144.22 |
|
84520
Urea nitrogen level to assess kidney function
|
17 | 12 | $12.00 | $2.19 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
16 | 16 | $376.00 | $182.78 |
|
69210
Removal of impacted ear wax
|
15 | 14 | $134.87 | $53.18 |
|
84153
Psa (prostate specific antigen) measurement, total
|
14 | 14 | $62.00 | $24.73 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 621 TERRYVILLE AVE, BRISTOL, CT 060104078 (Tel: 8605830053)
Registered at 4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 060322573 (Tel: 8602845200)
Recorded as JACK ADLER, MD
Internal Medicine (License #026809 in CT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4 Farm Springs Rd, Prohealth Physicians
Farmington, CT 060322573
Phone: 8602845200
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.