- Years of Experience 27
- Internal Medicine
- Addiction Medicine
- PECOS Enrolled
- Accepts Medicare Approved Payment
PECOS Enrollment and Medicare Participation Status
Adefolaju Oketokun is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3971628603
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20100917000294
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20006 ZIP code area.
- Average New Patient Price $155.19
- Minimum New Patient Price $68.56
- Maximum New Patient Price $204.56
- Average New Patient Copayment $38.79
- Minimum New Patient Copayment $17.14
- Maximum New Patient Copayment $51.14
- Average Established Patient Price $120.2
- Minimum Established Patient Price $21.87
- Maximum Established Patient Price $167.24
- Average Established Patient Copayment $30.05
- Minimum Established Patient Copayment $5.46
- Maximum Established Patient Copayment $41.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
|Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
|2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 6 + 1 + 2 + 24 = 39
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
|40 - 39 = 1
The NPI number 1003005661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
|Name / Type
|Health Maintenance Organization
|1629 K STREET NW STE 300
WASHINGTON, DC 20006
Frequently Asked Questions
What is Dr. Adefolaju Oketokun MD NPI number?
The NPI number assigned to this healthcare provider is 1003005661, enumerated in the NPI registry as an "individual" on October 19, 2007
Where is the provider located?
The provider is located at 1629 K Street Nw Suite 300 Washington, Dc 20006 and the phone number is (202) 636-1360
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine
How many years of experience does Dr. Adefolaju Oketokun MD have?
The provider has more than 27 years of experience.
What insurance does Dr. Adefolaju Oketokun MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Adefolaju Oketokun MD registered in PECOS?
Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Adefolaju Oketokun MD?
Medicare beneficiaries should expect a typical cost of $155.19 with an average copayment of $38.79 for new patient appointments. Established patients should expect a typical charge of $120.2 and an average copayment of 30.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
This NPI record was last updated on October 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.