Spencer James Adams, MD
Ophthalmology · Fresno
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Vision Care Center A Medical Group Inc · 19 clinicians in this group
Looking this up.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Adams’s office at (559) 486-2000 to ask if they take your plan before you enroll.
California Medical Board record
Licence A174514 · Current
Licensed to practise in California · since 2021 · expires 2027-08-31 · Saint Louis University School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$229,867
Medicare paid this office $229,867 for 618 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Removal of cataract with insertion of prosthetic lens | 135 | $103,873 | $414 |
| Short return visit (20+ min) | 345 | $29,664 | $61 |
| Removal of recurring cataract in lens capsule using a laser | 54 | $17,519 | $324 |
| Return visit (30+ min) | 180 | $17,324 | $88 |
| Exam of visual field with extended testing | 238 | $13,978 | $47 |
See all 15 services
| Removal of cataract with insertion of prosthetic lens | 135 | $103,873 | $414 |
| Short return visit (20+ min) | 345 | $29,664 | $61 |
| Removal of recurring cataract in lens capsule using a laser | 54 | $17,519 | $324 |
| Return visit (30+ min) | 180 | $17,324 | $88 |
| Exam of visual field with extended testing | 238 | $13,978 | $47 |
| Measurement of corneal curvature and depth of eye | 161 | $7,998 | $20 |
| New patient visit (45+ min) | 72 | $7,968 | $111 |
| Imaging of optic nerve | 224 | $7,313 | $25 |
| New patient visit (30+ min) | 50 | $3,828 | $77 |
| Established patient complete exam of visual system | 25 | $2,434 | $97 |
| Short return visit | 22 | $970 | $37 |
| Imaging of retina | 24 | $716 | $30 |
| Removal of cataract with insertion of prosthetic lens | 11 | $604 | $30 |
| Ultrasound scan of cornea to determine thickness | 22 | $164 | $7 |
| Exam of the internal drainage system of eye | 11 | $136 | $12 |
Procedures Medicare counted
| Cataract surgery | 436 | More than 94% of doctors who do this |
Who their Medicare patients are
618 Original Medicare patients in 2024. Average age 75 · Under 65 5% · 85 and older 12% · Women 55% · Also on Medicaid 24% · Health risk score 1.20. Above the middle of the specialty; the typical ophthalmology clinician is at 1.16.
Conditions among them: High blood pressure 75% · Diabetes 44% · Coronary heart disease 32% · Chronic kidney disease 26% · Heart failure 17% · Depression 16% · Cancer 13% · Atrial fibrillation 12% · COPD 9% · Stroke 9% · Dementia 5%.
The office billed $1,089,909, Medicare allowed $311,972 and paid $229,867; for 2,277 services of 35 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 618 | 2,277 | 75 | 1.20 | $1,089,909 | $229,867 |
| 2023 | 902 | 2,566 | 76 | 1.16 | $1,126,355 | $256,926 |
| 2022 | 724 | 1,692 | 75 | 1.16 | $682,375 | $158,527 |
| 2021 | 241 | 615 | 75 | 1.12 | $244,776 | $58,518 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 15 services
| Removal of cataract with insertion of prosthetic lens | 138 | $105,147 | $434 |
| Short return visit (20+ min) | 457 | $41,888 | $66 |
| Return visit (30+ min) | 226 | $21,613 | $92 |
| Removal of recurring cataract in lens capsule using a laser | 68 | $21,089 | $306 |
| Exam of visual field with extended testing | 223 | $11,624 | $48 |
| New patient visit (45+ min) | 97 | $11,556 | $119 |
| Measurement of corneal curvature and depth of eye | 168 | $7,933 | $20 |
| Imaging of optic nerve | 229 | $7,402 | $27 |
| Established patient complete exam of visual system | 71 | $6,513 | $90 |
| New patient visit (30+ min) | 70 | $5,398 | $77 |
| New patient complete exam of visual system | 39 | $3,624 | $93 |
| Imaging of retina | 41 | $1,384 | $33 |
| Short return visit | 22 | $900 | $39 |
| Photography of the retina | 13 | $412 | $29 |
| Ultrasound scan of cornea to determine thickness | 24 | $214 | $9 |
2022: 16 services
| Removal of cataract with insertion of prosthetic lens | 64 | $47,261 | $422 |
| Short return visit (20+ min) | 331 | $28,428 | $67 |
| Removal of recurring cataract in lens capsule using a laser | 56 | $17,514 | $313 |
| Return visit (30+ min) | 146 | $15,404 | $97 |
| New patient visit (45+ min) | 55 | $6,400 | $116 |
| Exam of visual field with extended testing | 132 | $6,254 | $45 |
| New patient visit (30+ min) | 71 | $5,560 | $78 |
| Established patient complete exam of visual system | 60 | $5,426 | $90 |
| Imaging of optic nerve | 152 | $4,850 | $27 |
| Measurement of corneal curvature and depth of eye | 101 | $4,094 | $20 |
| New patient complete exam of visual system | 31 | $3,798 | $123 |
| Closure of tear duct opening using plug | 13 | $2,350 | $181 |
| Short return visit | 36 | $1,407 | $38 |
| Imaging of retina | 25 | $835 | $32 |
| New patient visit (15+ min) | 24 | $653 | $27 |
| Exam of the internal drainage system of eye | 17 | $326 | $19 |
2021: 12 services
| Removal of cataract with insertion of prosthetic lens | 24 | $13,660 | $414 |
| Removal of recurring cataract in lens capsule using a laser | 29 | $9,102 | $314 |
| Short return visit (20+ min) | 85 | $6,534 | $75 |
| New patient visit (45+ min) | 45 | $5,472 | $122 |
| Return visit (30+ min) | 50 | $5,396 | $108 |
| Exam of visual field with extended testing | 63 | $3,238 | $51 |
| New patient visit (30+ min) | 32 | $2,796 | $87 |
| Imaging of optic nerve | 72 | $2,068 | $29 |
| Measurement of corneal curvature and depth of eye | 52 | $1,996 | $22 |
| New patient visit (15+ min) | 13 | $615 | $47 |
| Imaging of retina | 14 | $480 | $32 |
| Ultrasound scan of cornea to determine thickness | 26 | $227 | $9 |
Medicaid work
$1,573 in 2024
Medicaid paid $1,573 for 259 billed services this clinician did in 2024, up to 27 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Short return visit (20+ min) | 167 | $1,325 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 42 | $107 |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 36 | $88 |
| Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation | 14 | $52 |
| 2024 | 259 | 4 | 27 | $1,573 |
| 2023 | 285 | 5 | 22 | $3,572 |
| 2022 | 93 | 2 | 20 | $678 |
See the largest Medicaid services in earlier years
2023
| XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | 17 | $1,779 |
| Short return visit (20+ min) | 186 | $1,574 |
| Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation | 40 | $124 |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 27 | $58 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 15 | $37 |
2022
| Short return visit (20+ min) | 77 | $678 |
| Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation | 16 | $0 |
Drugs they prescribed that Part D paid
$240,622
Pharmacies billed $240,622 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
1,542 generic and 942 brand-name prescriptions · $240,622 in drug cost · 13 antibiotic prescriptions.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Restasis | 51 | $54,734 | $1,073 |
| Xiidra | 26 | $33,487 | $1,288 |
| Miebo | 30 | $29,055 | $969 |
| Prednisolone Acetate | 272 | $12,014 | $44 |
| Besivance | 53 | $11,886 | $224 |
See all 26 drugs
| Restasis | 51 | $54,734 | $1,073 |
| Xiidra | 26 | $33,487 | $1,288 |
| Miebo | 30 | $29,055 | $969 |
| Prednisolone Acetate | 272 | $12,014 | $44 |
| Besivance | 53 | $11,886 | $224 |
| Vyzulta | 21 | $11,496 | $547 |
| Bromfenac | 34 | $8,491 | $250 |
| Latanoprost | 670 | $7,982 | $12 |
| Cyclosporine | 16 | $6,730 | $421 |
| Lumigan | 17 | $6,667 | $392 |
| Prolensa | 17 | $5,707 | $336 |
| Travoprost | 23 | $4,340 | $189 |
| Combigan | 14 | $3,597 | $257 |
| Dorzolamide-Timolol | 206 | $3,570 | $17 |
| Alphagan P | 12 | $2,712 | $226 |
| Timolol Maleate | 255 | $2,513 | $10 |
| Ketorolac Tromethamine | 118 | $1,719 | $15 |
| Brimonidine | 172 | $1,606 | $9 |
| Ofloxacin | 115 | $1,219 | $11 |
| Neomycin-Polymyxin-Dexameth | 88 | $862 | $10 |
| Dorzolamide | 43 | $733 | $17 |
| Azelastine | 26 | $509 | $20 |
| Valacyclovir | 11 | $382 | $35 |
| Ciprofloxacin | 31 | $333 | $11 |
| Diclofenac | 33 | $327 | $10 |
| Doxycycline Hyclate | 11 | $196 | $18 |
Year by year
| 2024 | 2,484 | 624 | None | 38% | $240,622 |
| 2023 | 2,585 | 707 | 0% (0) | 47% | $301,040 |
| 2022 | 1,849 | 526 | 0% (0) | 43% | $180,799 |
| 2021 | 1,271 | 404 | None | 45% | $121,091 |
| 2020 | 320 | 154 | None | 42% | $30,274 |
| 2019 | 161 | 66 | 7% (11) | 31% | $12,165 |
| 2018 | 78 | 34 | None | 29% | $7,337 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 20 drugs
| Restasis | 72 | $71,905 | $999 |
| Prolensa | 124 | $43,522 | $351 |
| Xiidra | 33 | $42,711 | $1,294 |
| Besivance | 123 | $27,688 | $225 |
| Prednisolone Acetate | 439 | $23,729 | $54 |
| Vyzulta | 23 | $12,189 | $530 |
| Latanoprost | 495 | $9,786 | $20 |
| Cyclosporine | 12 | $7,620 | $635 |
| Fluorometholone | 46 | $4,770 | $104 |
| Ketorolac Tromethamine | 214 | $4,752 | $22 |
| Dorzolamide-Timolol | 117 | $3,428 | $29 |
| Timolol Maleate | 213 | $3,036 | $14 |
| Ofloxacin | 142 | $2,024 | $14 |
| Dorzolamide | 48 | $1,948 | $41 |
| Neomycin-Polymyxin-Dexameth | 118 | $1,824 | $15 |
| Doxycycline Hyclate | 13 | $1,598 | $123 |
| Ciprofloxacin | 88 | $1,106 | $13 |
| Valacyclovir | 14 | $1,070 | $76 |
| Brimonidine | 97 | $963 | $10 |
| Moxifloxacin | 11 | $538 | $49 |
2022: 19 drugs
| Prolensa | 82 | $26,667 | $325 |
| Restasis | 34 | $26,634 | $783 |
| Xiidra | 20 | $21,912 | $1,096 |
| Prednisolone Acetate | 318 | $17,287 | $54 |
| Besivance | 49 | $11,122 | $227 |
| Travoprost | 26 | $8,434 | $324 |
| Latanoprost | 312 | $5,186 | $17 |
| Timolol Maleate | 184 | $3,499 | $19 |
| Fluorometholone | 36 | $3,130 | $87 |
| Ketorolac Tromethamine | 158 | $2,720 | $17 |
| Loteprednol Etabonate | 11 | $2,235 | $203 |
| Ofloxacin | 155 | $2,219 | $14 |
| Dorzolamide-Timolol | 68 | $1,916 | $28 |
| Dorzolamide | 34 | $1,495 | $44 |
| Neomycin-Polymyxin-Dexameth | 80 | $1,181 | $15 |
| Brimonidine | 77 | $706 | $9 |
| Azelastine | 12 | $688 | $57 |
| Ciprofloxacin | 42 | $538 | $13 |
| Polymyxin B Sul-Trimethoprim | 13 | $106 | $8 |
2021: 20 drugs
| Prolensa | 60 | $18,978 | $316 |
| Lumigan | 38 | $14,825 | $390 |
| Prednisolone Acetate | 213 | $11,347 | $53 |
| Restasis | 12 | $9,475 | $790 |
| Combigan | 25 | $6,986 | $279 |
| Besivance | 33 | $6,814 | $206 |
| Latanoprost | 210 | $5,054 | $24 |
| Travoprost | 12 | $3,195 | $266 |
| Loteprednol Etabonate | 14 | $2,839 | $203 |
| Dorzolamide-Timolol | 47 | $2,095 | $45 |
| Ketorolac Tromethamine | 101 | $2,021 | $20 |
| Brimonidine | 60 | $1,694 | $28 |
| Dorzolamide | 35 | $1,427 | $41 |
| Ofloxacin | 95 | $1,395 | $15 |
| Pilocarpine | 13 | $1,201 | $92 |
| Timolol Maleate | 107 | $1,195 | $11 |
| Fluorometholone | 11 | $1,045 | $95 |
| Dexamethasone Sodium Phosphate | 14 | $726 | $52 |
| Neomycin-Polymyxin-Dexameth | 19 | $223 | $12 |
| Ciprofloxacin | 20 | $216 | $11 |
2020: 7 drugs
| Lumigan | 13 | $3,871 | $298 |
| Combigan | 11 | $2,693 | $245 |
| Prednisolone Acetate | 32 | $2,027 | $63 |
| Latanoprost | 61 | $1,692 | $28 |
| Brimonidine | 15 | $852 | $57 |
| Dorzolamide-Timolol | 14 | $503 | $36 |
| Timolol Maleate | 32 | $260 | $8 |
2019: 5 drugs
| Tobramycin-Dexamethasone | 17 | $2,786 | $164 |
| Latanoprost | 13 | $284 | $22 |
| Erythromycin | 24 | $284 | $12 |
| Neomycin-Polymyxin-Dexameth | 11 | $156 | $14 |
| Acetaminophen-Codeine | 11 | $40 | $4 |
Money from drug and device companies
$5,784 in 2025
| 2025 | 9 | 27 | $4,708 | $5,784 |
| 2024 | 6 | 12 | None | $322 |
| 2023 | 4 | 9 | None | $331 |
| 2022 | 4 | 6 | None | $197 |
| 2021 | 5 | 12 | None | $561 |
| 2020 | 1 | 4 | None | $123 |
| 2019 | 1 | 2 | None | $171 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| RxSight | Rxsight Contact Lens | $4,730 | 5 payments
|
| Amgen | Tepezza | $207 | 8 payments
|
| Alcon Vision | Tryptyr | $201 | 4 payments
|
| Glaukos | Idosetr | $171 | 2 payments
|
| Apellis Pharmaceuticals | Syfovre | $125 | 1 payment
|
| Dompe US | Oxervate | $125 | 1 payment
|
See all 27 published payments
| Glaukos | Meals · 2025-12-17 | Istent Infinite | $24 |
| Apellis Pharmaceuticals | Meals · 2025-12-10 | Syfovre | $125 |
| Glaukos | Meals · 2025-12-08 | Idosetr | $147 |
| Amgen | Meals · 2025-11-18 | Tepezza | $11 |
| Dompe US | Meals · 2025-11-13 | Oxervate | $125 |
| Alcon Vision | Meals · 2025-10-22 | None | $150 |
| Alcon Vision | Meals · 2025-10-14 | Tryptyr | $16 |
| Amgen | Meals · 2025-09-16 | Tepezza | $12 |
| Alcon Vision | Meals · 2025-09-10 | Unity | $14 |
| RxSight | Consulting · 2025-09-03 | Rxsight Contact Lens | $1,249 |
| Tarsus Pharmaceuticals | Meals · 2025-08-15 | Xdemvy | $19 |
| Alcon Vision | Meals · 2025-08-12 | Tryptyr | $21 |
| Amgen | Meals · 2025-08-05 | Tepezza | $11 |
| RxSight | Consulting · 2025-07-29 | Light Adjustable Lens (Lal) | $1,249 |
| RxSight | Consulting · 2025-07-21 | Rxsight Contact Lens | $963 |
| Amgen | Meals · 2025-07-08 | Tepezza | $14 |
| RxSight | Consulting · 2025-06-22 | Rxsight Contact Lens | $1,249 |
| Mallinckrodt Hospital Products | Meals · 2025-06-18 | Acthar | $22 |
| Amgen | Meals · 2025-06-18 | Tepezza | $125 |
| Mallinckrodt Hospital Products | Meals · 2025-06-10 | Acthar | $29 |
| Bausch & Lomb Americas | Meals · 2025-05-15 | Miebo | $110 |
| Amgen | Meals · 2025-05-06 | Tepezza | $11 |
| Mallinckrodt Hospital Products | Meals · 2025-04-09 | Acthar | $31 |
| Amgen | Meals · 2025-03-18 | Tepezza | $11 |
| RxSight | Meals · 2025-02-21 | Rxsight Contact Lens | $22 |
| Tarsus Pharmaceuticals | Meals · 2025-02-19 | Xdemvy | $14 |
| Amgen | Meals · 2025-02-04 | Tepezza | $12 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $322
| Alcon Vision | Rocklatan | $148 | 3 payments
|
| Amgen | Tepezza | $67 | 4 payments
|
| RxSight | Rxsight Contact Lens | $45 | 2 payments
|
| Biotissue Holdings | None | $25 | 1 payment
|
| Johnson & Johnson Vision Care | None | $21 | 1 payment
|
| Oyster Point Pharma | Tyrvaya | $16 | 1 payment
|
2023: $331
| Bausch & Lomb Americas | Miebo | $270 | 6 payments
|
| Alcon Vision | Acrysof Iq Panoptix Uv Iol | $22 | 1 payment
|
| Horizon Therapeutics plc | Tepezza | $22 | 1 payment
|
| Rayner Intraocular Lenses | Omidria | $17 | 1 payment
|
2022: $197
| Alcon Vision | Rocklatan | $119 | 2 payments
|
| Abbvie | Durysta | $39 | 2 payments
|
| BioTissue Holdings | Prokera | $24 | 1 payment
|
| Dompe US | Oxervate | $15 | 1 payment
|
2021: $561
| Alcon Vision | Acrysof | $357 | 3 payments
|
| Tissuetech | Prokera | $121 | 3 payments
|
| Allergan | Durysta | $59 | 4 payments
|
| Bausch & Lomb a division of Bausch Health US | Vyzulta | $12 | 1 payment
|
| Aerie Pharmaceuticals | Rocklatan | $12 | 1 payment
|
2020: $123
| Alcon Vision | Centurion | $123 | 4 payments
|
2019: $171
| Alcon Vision | Acrysof | $171 | 2 payments
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 89.9 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1689105801
- Licence
- CA A174514California A174514: Current · expires 2027-08-31
- Trained
- Saint Louis University School of Medicine, 2017
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207W00000X (207W00000X)
- Mailing address
- 7075 N Sharon Ave, Fresno, CA, 93720
- NPI first listed
- 2017-03-21
- NPI last updated
- 2025-06-03
- NPI record certified
- 2025-06-03
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 2535 Alluvial Ave, Clovis, CA, 93611 · 2719 Cinema Way, Selma, CA, 93662