Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Adam P Pasternak, DO, CAQSM

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1295968311

Dr. Adam P Pasternak, DO, CAQSM is a Family Practice in Port Orange, Florida. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Florida and Missouri.

Years since qualifying
17
Licensed in
FL, MO
In the registry since
2009
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5535 S Williamson Blvd Ste 700
Port Orange, FL 32128-8321
Phone: (386) 231-6300
Fax: (386) 322-6165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS16317 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2014024991 (MO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence OS16317 (FL)

Record details

NPI number1295968311
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , CAQSM
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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