Paul Mark Adams Jr., M.D.
NPI 1487069845ActiveIndividual· Internal Medicine, Nephrology· Lexington, KY
Internal Medicine, Nephrology (M.D.) with Ephraim McDowell Health Resource Inc and 1 other group, practicing in Lexington, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $72,766 for 195 claims, against $25,193 paid for services in 2024. Penumbra, Inc. was the largest of 2 companies reporting payments in 2025, $187.96 in all, mostly food and beverage. Lists Ephraim McDowell Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1487069845 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 24, 2014 |
| Last updated in NPPES | Jul 10, 2020 |
| Certified by provider | Jul 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 50533 | KY |
| Internal Medicine | 207R00000X | 50533 | KY |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 50533 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 279 across 12 procedure codes |
| Paid by Medicare | $25,193 |
Part D prescriptions in 2024
| Prescriptions (claims) | 195 · 450 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $72,766 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nephrology |
| Secondary specialties | Critical Care (Intensivists) |
Medical groups
- Ephraim McDowell Health Resource IncDanville, KY · 163 clinicians
- Central Kentucky Kidney Care LLCDanville, KY · 4 clinicians
Hospital affiliation
- Ephraim McDowell Regional Medical CenterDanville, KY
Industry payments (Open Payments)
- 2025$187.96 · 2 payments from 2 companies
- 2024$98.82 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $168.74 | 1 |
| Mallinckrodt Hospital Products Inc. | $19.22 | 1 |
What the 2025 payments were for
- Food and Beverage$187.96 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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