Dr. Adam Spain , DO
Internal Medicine โข Elgin, IL
1425 N Randall Rd
Elgin, IL 601232300
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 5, 2015; this date does not establish years in practice.
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Published CMS data list 595 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 265 service units.
- 99239 โ Hospital discharge day management: 121 service units.
- 99223 โ Initial hospital care with moderate level of medical decision making: 98 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 37 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Pantoprazole Sodium โ 15 prescription fills, including refills.
- Eliquis (Apixaban) โ 11 prescription fills, including refills.
- Cefdinir โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Elgin, IL (2024, 43 clinicians with data). Median for this group: 860. Middle half: 616 to 1,826.
Close to the middle for Medicare Part B services among clinicians listed under Internal Medicine in Illinois (2024, 3,249 clinicians with data). Median for this group: 699. Middle half: 285 to 1,340.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 722 in 2020 to 595 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1425 N Randall Rd
Elgin, IL 601232300
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Advocate Health And Hospitals Corporation. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2015
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
250 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $73,366 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $56,074 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
37 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$7,328 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $13.65 in 2021
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2021.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Spain has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Spain as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Elgin and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Elgin, IL (2024, 43 clinicians with data). Median for this group: 860. Middle half: 616 to 1,826.
Close to the middle for clinicians listed under Internal Medicine in Illinois (2024, 3,249 clinicians with data). Median for this group: 699. Middle half: 285 to 1,340.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Elgin, IL (2024, 43 clinicians with data). Median for this group: $97,016. Middle half: $68,673 to $164,266.
Close to the middle for clinicians listed under Internal Medicine in Illinois (2024, 3,249 clinicians with data). Median for this group: $67,802. Middle half: $27,619 to $124,679.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Internal Medicine in Elgin, IL (2024, 43 clinicians with data). Median for this group: $74,857. Middle half: $53,882 to $125,255.
Close to the middle for clinicians listed under Internal Medicine in Illinois (2024, 3,249 clinicians with data). Median for this group: $52,838. Middle half: $21,117 to $98,214.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Spain are from 2023.
62 active clinicians are listed under Internal Medicine with a practice address in Elgin, IL (7,245 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Elgin
27.4% of these 62 clinicians have the CMS telehealth indicator.
69.4% of these 62 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 18% from 722 in 2020 to 595 in 2024.
- 2020: 722
- 2021: 900
- 2022: 932
- 2023: 571
- 2024: 595
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $78,185 in 2020 and $73,366 in 2024.
- 2020: $78,185
- 2021: $97,853
- 2022: $102,576
- 2023: $65,361
- 2024: $73,366
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Paid by Medicare
Paid by Medicare varied from year to year: $61,184 in 2020 and $56,074 in 2024.
- 2020: $61,184
- 2021: $78,069
- 2022: $80,575
- 2023: $50,566
- 2024: $56,074
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 11 in 2019 to 37 in 2023.
- 2019: 11
- 2020: 11
- 2021: 69
- 2022: 70
- 2023: 37
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30-day fills
30-day fills increased 76% from 21 in 2019 to 37 in 2023.
- 2019: 21
- 2020: 11
- 2021: 71
- 2022: 70
- 2023: 37
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Part D drug cost
Part D drug cost went from $326 in 2019 to $7,328 in 2023.
- 2019: $326
- 2020: $25
- 2021: $517
- 2022: $526
- 2023: $7,328
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $18.82 in 2019 to $13.65 in 2021.
- 2019: $18.82
- 2021: $13.65
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2021 (payments made January 1 โ December 31, 2021): fewer than 11 records totaling $13.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| BOSTON SCIENTIFIC CORPORATION |
Food and Beverage
Cash or cash equivalent
|
WATCHMAN | General | $13.65 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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265 | 102 | $261.00 | $118.18 |
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99239
Hospital discharge day management, more than 30 minutes
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121 | 117 | $254.00 | $114.15 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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98 | 95 | $459.00 | $177.35 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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61 | 37 | $177.00 | $78.83 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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38 | 38 | $315.00 | $134.92 |
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99497
Advance care planning, first 30 minutes
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12 | 12 | $193.00 | $76.71 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 15 | 418 | $138.64 | 15 |
| Eliquis | Apixaban | 11 | 312 | $6,922.12 | โ |
| Cefdinir | Cefdinir | 11 | 63 | $267.60 | 11 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-12-16NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20190725000585
IL
5991040305
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Advocate Health And Hospitals Corporation
836 W Wellington, Chicago, IL 606575147
Phone: 7732967147
Advocate Health And Hospitals Corporation
836 W Wellington Ave, Chicago, IL 606575147
Advocate Health And Hospitals Corporation
214 Mchenry Rd, Buffalo Grove, IL 600896748
Phone: 8474591160
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Family Nurse Practitioner (Board Certified)
Anesthesiology
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1425 N RANDALL RD, ELGIN, IL 601232300 (Tel: 8477429800)
Registered at 1425 N RANDALL RD, ELGIN, IL 601232300
Registered at 5200 DTC PKWY STE 400, GREENWOOD VILLAGE, CO 801112719 (Tel: 3037450000)
Registered at 5200 DTC PARKWAY, SUITE 400, GREENWOOD VILLAGE, CO 801112719 (Tel: 3037450000)
NPI status registered as active in NPPES database
Registered at 10101 RIDGEGATE PKWY, LONE TREE, CO 801245522 (Tel: 7204763364)
Registered at 3126 W WALTON ST, UNIT 3, CHICAGO, IL 606221287 (Tel: 8155435615)
Recorded as ADAM SPAIN, D.O.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Elgin
- Dr. Jacob Salman, MD
- Dr. Janice Wood, MD
- Dr. Carolyn Trelka-Rojas, MD
- Dr. Devendra Shah, MD
- Dr. John Fiedler, MD
- Dr. Rosalina Guerrero-Guzman, MD
Mailing Address
1425 N Randall Rd
Elgin, IL 601232300