Active NPI 1922325679 Individual Practitioner Male Practitioner

Dr. Adam Blau , MD

Surgery • Stoneham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Adam Blau, MD is a certified Surgery practicing in Stoneham, MA. With approximately 16 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2010, Dr. Blau delivers high-quality medical care to the local community at 91 MONTVALE AVE STE 208.

Dr. Blau is affiliated with Hallmark Health Medical Associates Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

91 Montvale Ave Ste 208

Stoneham, MA 021803649

Telephone 7816204984

Fax 7814383125

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Stoneham, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -19.3 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Stoneham, MA (1077 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blau (16 Years) 16 Yrs

Stoneham Specialty Average (35.3 Years) 35.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

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	114	75	$381.07	$137.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$490.37	$181.32
99213 Established patient office or other outpatient visit, typically 15 minutes	64	48	$269.27	$99.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	29	$207.54	$82.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	19	$299.16	$123.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$330.37	$121.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$395.26	$136.17
49650 Repair of groin hernia using an endoscope	29	29	$1368.98	$459.03
46600 Diagnostic examination of the anus using an endoscope	27	21	$381.12	$135.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$580.73	$181.17
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	17	17	$64.00	$17.34
47562 Removal of gallbladder using an endoscope	14	14	$1951.98	$655.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	49	$208.21	$85.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	57	$381.07	$140.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$490.37	$183.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	62	$397.96	$140.74
99213 Established patient office or other outpatient visit, typically 15 minutes	47	38	$269.27	$97.84
49650 Repair of groin hernia using an endoscope	25	25	$1331.89	$451.97
47562 Removal of gallbladder using an endoscope	22	22	$1951.98	$721.42
46600 Diagnostic examination of the anus using an endoscope	21	19	$381.12	$129.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$330.37	$125.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	16	$301.74	$128.82

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	101	72	$384.79	$142.49
99213 Established patient office or other outpatient visit, typically 15 minutes	76	52	$265.65	$101.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	73	$407.26	$144.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	51	$214.41	$76.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$510.13	$185.40
49650 Repair of groin hernia using an endoscope	19	19	$1395.87	$492.91
46600 Diagnostic examination of the anus using an endoscope	18	17	$338.54	$147.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$349.00	$125.18
47562 Removal of gallbladder using an endoscope	13	13	$1981.53	$738.75

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	103	72	$390.00	$145.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	44	$235.00	$77.74
99213 Established patient office or other outpatient visit, typically 15 minutes	59	43	$260.00	$101.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	55	$430.00	$147.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$580.00	$187.56
46600 Diagnostic examination of the anus using an endoscope	44	34	$330.00	$145.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	18	$130.00	$41.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	17	$330.00	$111.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$390.00	$126.36
47562 Removal of gallbladder using an endoscope	13	13	$2080.00	$748.98
49650 Repair of groin hernia using an endoscope	11	11	$1370.00	$487.96

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	83	65	$390.00	$120.93
99213 Established patient office or other outpatient visit, typically 15 minutes	72	47	$260.00	$83.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$580.00	$182.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	33	$235.00	$79.06
46600 Diagnostic examination of the anus using an endoscope	39	29	$330.00	$122.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$430.00	$150.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$390.00	$121.11
99442 Telephone medical discussion with physician, 11-20 minutes	21	16	$233.81	$83.02
99441 Telephone medical discussion with physician, 5-10 minutes	20	14	$160.00	$46.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	15	$130.00	$42.96
49650 Repair of groin hernia using an endoscope	15	15	$1552.67	$529.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	110	$248.29	$82.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$358.13	$120.78
46600 Diagnostic examination of the anus using an endoscope	85	55	$314.00	$111.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	55	$380.88	$120.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	41	$246.44	$78.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$572.60	$182.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$623.50	$219.04
46221 Removal of external hemorrhoids by rubber banding	25	19	$874.40	$304.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	16	$326.67	$112.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$143.04	$50.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$126.36	$42.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$430.00	$148.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$100.00	$25.88
49650 Repair of groin hernia using an endoscope	13	13	$1410.00	$427.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	88	$210.00	$80.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$300.00	$119.53
46600 Diagnostic examination of the anus using an endoscope	79	65	$245.00	$102.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	38	$280.00	$78.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$585.00	$218.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	29	$315.00	$112.74
46221 Removal of external hemorrhoids by rubber banding	28	24	$650.00	$308.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$130.00	$49.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$310.00	$112.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$210.00	$79.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$300.00	$117.05

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 271330

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Hallmark Health Medical Associates Inc

888 Main St, Wakefield, MA 018804080

Phone: 7816204888

Hallmark Health Medical Associates Inc

585 Lebanon St, Melrose, MA 021763225

Phone: 7819793070

Hallmark Health Medical Associates Inc

585 Lebanon St, Melrose, MA 021763225

Phone: 7819793000

Hallmark Health Medical Associates Inc

425 Revere St, Revere, MA 021514543

Phone: 7816656606

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Andras Sandor , MD

Surgery

NPI 1548238843

Doctor of Medicine (M.D.)

Ariana Duclos , RN

Registered Nurse

NPI 1679392534

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location October 03, 2019

Registered at 91 MONTVALE AVE STE 208, STONEHAM, MA 021803649 (Tel: 7816204984)

📍

Updated Business Mailing Address October 03, 2019

Registered at 91 MONTVALE AVE STE 208, STONEHAM, MA 021803649 (Tel: 7816204984)

✅

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 08, 2017

Registered at 91 MONTVALE AVE, STE 208, STONEHAM, MA 021803649

📍

Updated Practice Location August 08, 2017

Registered at 800 WASHINGTON ST # 437, BOSTON, MA 021111552 (Tel: 6176365891)

👤

Provider Name / Credentials Updated August 08, 2017

Recorded as ADAM BLAU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Surgery (License #271330 in MA)

✅

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2016

Registered at 800 WASHINGTON ST # 437, BOSTON, MA 021111552 (Tel: 6176365891)

📍

Updated Business Mailing Address March 24, 2016

Registered at 800 WASHINGTON ST # 437, BOSTON, MA 021111552

👤

Provider Name / Credentials Updated March 24, 2016

Recorded as ADAM BLAU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922325679

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 20, 2010

Last Update: October 03, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

91 Montvale Ave Ste 208

Stoneham, MA 021803649

Phone: 7816204984

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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.