DAVID WILLIAM ADCOCK, M.D. — NPI 1750386066 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1750386066

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208200000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery

Box 32 Service Location & ZIP+4

675 BALTIMORE DR, WILKES BARRE, PA, 18702-7900

✓ 9-Digit EDI 837 ZIP+4 (18702-7900)

Practice Phone & Referral Fax

(570) 808-6400

Fax: (570) 808-6338

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750386066 (DAVID WILLIAM ADCOCK, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750386066` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVID WILLIAM ADCOCK, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: `208200000X` (Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	675 BALTIMORE DR, WILKES BARRE, PA, 18702-7900
Practice Telephone / Fax	Tel: (570) 808-6400 \| Fax: (570) 808-6338
Administrative Mailing Address	100 N ACADEMY AVE, DANVILLE, PA, 17822-9800
Enumeration & Last Sync	Enumerated: 2005-06-15 \| CMS Record Updated: 2026-08-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

675 BALTIMORE DR, WILKES BARRE, PA, 18702-7900

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Plain-English Taxonomy & CMS Crosswalk (208200000X)

What Does Taxonomy Code 208200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVID WILLIAM ADCOCK, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: ND \| License: `19224` \| Primary: Secondary
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: GA \| License: `052405` \| Primary: Secondary
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: TN \| License: `MD0000020999` \| Primary: Secondary
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: PA \| License: `MD483668` \| Primary: Yes (Primary)
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: MS \| License: `23882` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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DAVID WILLIAM ADCOCK, M.D. (NPI #1750386066)