Medicare Enrolled

Dr. Nadir Adam, MD

Surgery · Merced, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
315 MERCY AVE STE 400, Merced, CA 95340
2095643700
In practice since 2012 (13 years)
NPI: 1760747398 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Adam from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Adam

Dr. Nadir Adam is a surgery specialist in Merced, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Adam performed 1,946 Medicare services across 968 unique beneficiaries.

Between the years covered by Open Payments, Dr. Adam received a total of $26,900 from 5 pharmaceutical and/or device companies across 58 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Adam is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 13 years in practice ▲ Top 4% volume in CA $26,900 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,946
Medicare services
Top 4% in CA for surgery
968
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~150 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
991 $64 $225
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
235 $105 $424
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
213 $103 $379
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
83 $94 $1,468
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
68 $85 $339
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
63 $61 $1,295
Anoscopy
A diagnostic exam of the anus using a thin, lighted tube called an endoscope to look inside.
44 $103 $287
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
41 $65 $263
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
33 $198 $1,661
Ultrasound guidance for blood vessel access
Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood.
26 $11 $46
Fluoroscopic guidance for central vein access device
Use of live X-ray imaging to guide the placement or removal of a central vein access device.
21 $14 $59
Injection beneath large bowel lining via endoscope
A flexible endoscope is used to inject medication or fluid beneath the lining of the large intestine.
19 $28 $1,485
Endoscopic groin hernia repair
A surgical procedure to repair a groin hernia using an endoscope, which allows the surgeon to view and operate through small incisions.
19 $277 $1,496
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
19 $38 $162
Gallbladder removal with bile duct X-ray
Surgical removal of the gallbladder combined with an X-ray study of the bile ducts performed using an endoscope.
17 $516 $2,206
Radiologist review of bile or pancreatic duct image during surgery
A radiologist reviews images of the bile and/or pancreatic ducts while the patient is undergoing surgery.
16 $11 $58
Insertion of non-tunneled central venous catheter
A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin.
13 $67 $744
Insertion of tunneled central venous catheter for infusion, age 5+
A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older.
13 $189 $2,532
Initial repair of abdominal hernia, 3-10 cm
Surgical repair of an abdominal hernia where the tissue is trapped, measuring between 3 and 10 centimeters in length.
12 $562 $3,061
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
2.2% high complexity
9.8% medium
88.0% routine

Industry Payment Transparency

Open Payments through 2023 ↗
$26,900
Total received (2018-2023)
Avg $4,483/year across 6 years
Top 9% in CA for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
5
Companies
58
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$25,277 (94.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,624 (6.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$212
2022
$86
2021
$42
2020
$1,454
2019
$15,006
2018
$10,100

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$212
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
Intuitive Surgical, Inc.
$25,575
Medtronic USA, Inc.
$826
Applied Medical Resources Corporation
$439
Medtronic, Inc.
$42
Integra LifeSciences Corporation
$17
Top 3 companies account for 99.8% of all-time payments
Associated products mentioned in payments ›
Da Vinci Surgical System · GELPOINT PATH · INTERSTIM · SURGIMEND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (94%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 9% for surgery in CA.

Looking for a surgery specialist in Merced?
Compare surgerists in the Merced area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists within 10 mi
11
Per 100K population
3.9
County median income
$65,044
Nearest hospital
MERCY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2023
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Adam is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with speaking/promotional industry engagement in the top 9% of CA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Adam experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Adam performed 991 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Adam receive payments from pharmaceutical companies?
Yes. Dr. Adam received a total of $26,900 from 5 companies across 58 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Adam's costs compare to other surgerists in Merced?
Dr. Adam's average Medicare payment per service is $86. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Adam) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →