DR. OLUFEMI A BABALOLA MD
NPI 1003012824
Surgery in East Point, GA

NPI Status: Active since June 27, 2007

Contact Information

1513 CLEVELAND AVE BLDG 500
EAST POINT, GA
ZIP 30344
Phone: (404) 752-1000

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  • Individual
  • Male
  • Surgery
  • PECOS Enrolled

About OLUFEMI BABALOLA

Olufemi Babalola is a provider established in East Point, Georgia and his medical specialization is Surgery. The healthcare provider is registered in the NPI registry with number 1003012824 assigned on June 2007. The practitioner's primary taxonomy code is 208600000X with license number 057928 (GA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1003012824
Provider Name
DR. OLUFEMI A BABALOLA MD
Gender
Male
Entity Type
Individual
Location Address
1513 CLEVELAND AVE BLDG 500 EAST POINT, GA 30344
Location Phone
(404) 752-1000
Mailing Address
75 PIEDMONT AVE NE STE 700 ATLANTA, GA 30303
Mailing Phone
(404) 756-5764
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
06-27-2007
Last Update Date
05-25-2012
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A surgeon like Olufemi Babalola treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
057928
License State
GA
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway Guided Access HMO 0% for HSA - HMO
    • Anthem Bronze Pathway Guided Access HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway Guided Access HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway Guided Access HMO 7500/50% Standard - HMO
    • Anthem Bronze Pathway Guided Access HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway HMO 0% for HSA - HMO
    • Anthem Bronze Pathway HMO 5000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway HMO 6000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway HMO 7500/50% Standard - HMO
    • Anthem Bronze Pathway HMO 8000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway PCP Copay Choice X 6000($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Bronze Pathway X Guided Access HMO 7500/50% Standard - HMO
    • Anthem Catastrophic Pathway X Guided Access HMO 9450 - HMO
    • Anthem Catastrophic Pathway X HMO 9450 - HMO
    • Anthem Gold Pathway Guided Access HMO 1350($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Gold Pathway Guided Access HMO 1500/25% Standard - HMO
    • Anthem Gold Pathway HMO 1350($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Gold Pathway PCP Copay Choice X 1200($0 Virtual PCP+$0 Select Drugs) - HMO
    • Anthem Gold Pathway X HMO 1500/25% Standard - HMO
    • Anthem Silver Pathway Guided Access HMO 3000($0 Virtual PCP+$0 Select Drugs) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Olufemi Babalola 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: Durable Medical Equipment (DME) 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

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • 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 30344 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.51
  • Minimum New Patient Price $58.88
  • Maximum New Patient Price $178.51
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.72
  • Maximum New Patient Copayment $44.62

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.63
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $145.86
  • Average Established Patient Copayment $18.4
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $36.46

* 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.
1003012824
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 8 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003012824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043210974DR. KITTY B CARTER-WICKER MD
Individual
Family Medicine1513 CLEVELAND AVE BLDG 500
EAST POINT, GA 30344
(404) 752-1000
1740276328DR. ELVAN CATHERINE DANIELS MD,MPH
Individual
Preventive Medicine (Public Health & General Preventive Medicine)1513 CLEVELAND AVE BLDG 500
ATLANTA, GA 30344
(404) 752-1000
1699977751DR. ANNE HAZEN GAGLIOTI M.D.
Individual
Family Medicine1513 CLEVELAND AVE BLDG 500
ATLANTA, GA 30344
(404) 752-1000
1609849843 BEVERLY D TAYLOR MD
Individual
Family Medicine1513 CLEVELAND AVE BLDG 500
EAST POINT, GA 30344
(404) 752-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012824, enumerated in the NPI registry as an "individual" on June 27, 2007

The provider is located at 1513 Cleveland Ave Bldg 500 East Point, Ga 30344 and the phone number is (404) 752-1000

The provider's speciality is Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 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: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $73.63 and an average copayment of 18.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 27, 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.