Active NPI 1801090469 Individual Practitioner Male Practitioner

Dr. Adam Lester Esham , MD

Urology • Chillicothe, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Esham, MD is a certified Urology practicing in Chillicothe, OH. With approximately 20 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 2006, Dr. Esham delivers high-quality medical care to the local community at 4439 STATE ROUTE 159 STE 260.

Dr. Esham is affiliated with Adena Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4439 State Route 159 Ste 260

Chillicothe, OH 456017502

Telephone 7407794370

Fax 7407794379

Associated Practice Facility / Clinic

🏢 Adena Health System Facility NPI 1912184888

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Chillicothe, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -0.7 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Chillicothe, OH (564 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Esham (20 Years) 20 Yrs

Chillicothe Specialty Average (20.7 Years) 20.7 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	212	170	$116.51	$91.49
99213 Established patient office or other outpatient visit, typically 15 minutes	160	124	$80.00	$62.05
52000 Diagnostic exam of bladder and urethra using an endoscope	91	71	$115.78	$73.37
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	82	77	$46.00	$15.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	30	$211.00	$74.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$99.00	$77.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$148.00	$125.73
81003 Automated urinalysis test	36	32	$17.00	$2.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$400.00	$122.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$380.00	$119.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	16	$1255.00	$373.55
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$267.00	$82.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$159.00	$135.44
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	11	$1134.00	$259.56
55700 Biopsy of prostate gland	13	13	$1645.85	$122.59
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$511.45	$28.36
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$298.00	$77.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	107	$80.00	$64.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	95	$114.00	$95.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	83	$380.00	$122.84
52000 Diagnostic exam of bladder and urethra using an endoscope	77	59	$96.21	$77.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	45	$211.00	$76.76
99213 Established patient office or other outpatient visit, typically 15 minutes	64	45	$267.00	$86.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$99.00	$81.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$155.50	$130.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$400.01	$122.96
81003 Automated urinalysis test	25	25	$17.00	$2.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$159.00	$140.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	149	$72.66	$66.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	89	$119.01	$97.21
99213 Established patient office or other outpatient visit, typically 15 minutes	100	76	$201.30	$87.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	84	$269.05	$122.77
81003 Automated urinalysis test	90	80	$17.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	87	68	$240.09	$80.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	28	$75.42	$38.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$141.33	$134.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$103.02	$83.10
51798 Ultrasound measurement of bladder capacity after voiding	26	24	$58.00	$9.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$331.13	$163.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$279.16	$133.28
52000 Diagnostic exam of bladder and urethra using an endoscope	17	16	$795.29	$237.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$260.87	$110.12
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2039.99	$722.99
55700 Biopsy of prostate gland	14	13	$666.86	$129.50
76872 Ultrasound scan of pelvic region through rectum	13	12	$232.69	$32.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$172.25	$144.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	153	$71.02	$66.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	139	$112.16	$97.40
52000 Diagnostic exam of bladder and urethra using an endoscope	109	81	$260.55	$79.02
81003 Automated urinalysis test	109	95	$17.00	$2.17
99213 Established patient office or other outpatient visit, typically 15 minutes	102	76	$194.00	$89.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	85	$256.00	$126.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$152.23	$136.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	41	$71.00	$38.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	39	$236.00	$135.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$111.23	$83.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$341.43	$156.49
51798 Ultrasound measurement of bladder capacity after voiding	26	23	$58.00	$9.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$256.00	$110.77
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	14	$1165.71	$139.29
51702 Simple insertion of temporary bladder tube	14	12	$111.43	$25.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$152.00	$141.94

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	157	134	$111.65	$79.46
99213 Established patient office or other outpatient visit, typically 15 minutes	143	118	$64.39	$51.63
81003 Automated urinalysis test	122	98	$17.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	90	$254.51	$105.62
52000 Diagnostic exam of bladder and urethra using an endoscope	114	85	$216.09	$83.31
99213 Established patient office or other outpatient visit, typically 15 minutes	70	63	$194.00	$71.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$144.74	$130.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	32	$71.00	$39.51
51702 Simple insertion of temporary bladder tube	39	19	$109.33	$26.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	34	$236.00	$138.79
51798 Ultrasound measurement of bladder capacity after voiding	32	29	$58.00	$9.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$340.00	$158.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$94.67	$76.13
99443 Telephone medical discussion with physician, 21-30 minutes	21	21	$189.81	$79.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	12	$127.00	$72.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$1129.29	$152.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	290	216	$102.69	$50.57
99213 Established patient office or other outpatient visit, typically 15 minutes	219	163	$194.00	$71.11
81003 Automated urinalysis test	154	124	$17.00	$2.40
52000 Diagnostic exam of bladder and urethra using an endoscope	135	92	$202.84	$81.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	86	$146.29	$77.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$193.18	$127.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	64	$256.00	$104.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	40	$71.00	$39.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$336.05	$154.66
51702 Simple insertion of temporary bladder tube	36	19	$109.78	$25.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$140.00	$75.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$236.00	$135.59
51798 Ultrasound measurement of bladder capacity after voiding	30	25	$58.00	$11.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$86.26	$25.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$1154.21	$145.20
51700 Simple bladder irrigation and/or instillation	18	16	$147.00	$29.80
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$172.00	$100.54
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$1255.00	$423.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$256.00	$105.19
51703 Complicated insertion of bladder tube	13	12	$294.00	$78.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	411	273	$100.07	$50.27
99213 Established patient office or other outpatient visit, typically 15 minutes	280	192	$194.00	$69.10
52000 Diagnostic exam of bladder and urethra using an endoscope	143	107	$199.76	$82.19
81003 Automated urinalysis test	133	113	$17.00	$2.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$179.44	$126.89
51702 Simple insertion of temporary bladder tube	57	23	$107.65	$25.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	33	$71.00	$38.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$336.05	$153.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$137.37	$75.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$256.00	$102.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$236.00	$134.20
51798 Ultrasound measurement of bladder capacity after voiding	37	30	$58.00	$14.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$186.81	$76.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	18	$1068.57	$141.22
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$172.00	$99.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$256.00	$100.02
51703 Complicated insertion of bladder tube	15	15	$264.60	$77.31
76872 Ultrasound scan of pelvic region through rectum	12	11	$173.83	$38.13
55700 Biopsy of prostate gland	12	11	$275.33	$131.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	434	282	$97.22	$49.79
99213 Established patient office or other outpatient visit, typically 15 minutes	259	185	$194.00	$68.29
81003 Automated urinalysis test	162	135	$17.00	$2.81
52000 Diagnostic exam of bladder and urethra using an endoscope	118	93	$198.67	$98.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$185.56	$125.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$337.54	$146.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$128.00	$75.17
51702 Simple insertion of temporary bladder tube	51	22	$108.08	$25.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$240.26	$129.67
51798 Ultrasound measurement of bladder capacity after voiding	39	36	$58.00	$17.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	25	$71.00	$36.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$171.89	$75.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$256.00	$101.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$993.16	$112.77
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	19	11	$1298.68	$204.70
76872 Ultrasound scan of pelvic region through rectum	17	15	$184.06	$32.89
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1255.00	$397.03
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$371.06	$31.87
55700 Biopsy of prostate gland	15	14	$298.93	$131.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$256.00	$103.08
51703 Complicated insertion of bladder tube	12	11	$208.25	$76.68

Medical Specialties & State Licenses

CMS Verified: 2023-01-25

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35.097987

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0067685 (OH)

Commercial Insurance / Payer ID Myutmb 3859623985-Commercial Number

3859623985

Hospital & Practice Group Affiliations

Adena Medical Group Llc

455 N Shawnee Lane, Chillicothe, OH 456019031

Phone: 7407794888

Adena Medical Group Llc

110 Vaugh Lane, Chillicothe, OH 45601

Phone: 7407797201

Adena Medical Group Llc

272 Hospital Rd, Chillicothe, OH 456019031

Adena Medical Group Llc

100 N Walnut St, Chillicothe, OH 456019031

Phone: 7407794500

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Matthew Christian , MD

Urology

NPI 1043260698

Doctor of Medicine (M.D.)

Elena Corbin , PA

Physician Assistant

NPI 1154173151

Physician Assistant

Mariya Larson , APRN

Nurse Practitioner

NPI 1255918272

Advanced Practice Registered Nurse

Barbara Casey , CNP

Nurse Practitioner

NPI 1407534605

Certified Nurse Practitioner

Dr. Donald Fuerst , MD

Urology

NPI 1689688871

Doctor of Medicine (M.D.)

Dr. Stephen Johnson , MD

Urology

NPI 1699828400

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 25, 2023

Registered at 4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 456017502 (Tel: 7407794370)

📍

Updated Business Mailing Address January 25, 2023

Registered at 4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 456017502 (Tel: 7407794370)

✅

NPI Profile Active August 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2012

Registered at 4439 STATE ROUTE 159, SUITE 280, CHILLICOTHE, OH 456018207 (Tel: 7407794370)

📍

Updated Business Mailing Address August 07, 2012

Registered at 150 S BOWMAN RD, CHILLICOTHE, OH 456013011 (Tel: 3302892307)

👤

Provider Name / Credentials Updated August 07, 2012

Recorded as ADAM ESHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2012

Urology (License #35.097987 in OH)

🟢

Initial NPI Registration & Enumeration June 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801090469

Entity Type:

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

Enumeration Date: June 14, 2007

Last Update: January 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4439 State Route 159 Ste 260

Chillicothe, OH 456017502

Phone: 7407794370

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.