DR. ADELERO OLAYINKA ADEBAJO M.D. NPI 1013089572
Internal Medicine in Columbia, SC

About DR. ADELERO OLAYINKA ADEBAJO M.D.

Adelero Adebajo is an internist established in Columbia, South Carolina and her medical specialization is Internal Medicine with more than 26 years of experience. The NPI number of Adelero Adebajo is 1013089572 and was assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 27873 (SC). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1013089572
Provider NameDR. ADELERO OLAYINKA ADEBAJO M.D.
Location Address1520 LAUREL ST COLUMBIA, SC 29201
Location Phone(803) 799-8407
Mailing Address1520 LAUREL ST COLUMBIA, SC 29201
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?No
Enumeration Date11-13-2006
Last Update Date04-10-2008

An internist like Dr. Adelero Olayinka Adebajo M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Adelero Adebajo 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.

Adelero Adebajo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Prisma Health Baptist and Prisma Health Richland Hospital.

The provider has performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities in the following quality measures: chronic care and preventative care management for empaneled patients, colorectal cancer screening, diabetes: eye exam, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, preventive care and screening: body mass index (bmi) screening and follow-up plan and use of decision support and standardized treatment protocols. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.11 for a new patient copayment and $24.79 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.27873
License StateSC
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

DR. ADELERO OLAYINKA ADEBAJO M.D.
1520 LAUREL ST
COLUMBIA, SC
ZIP 29201
Phone: (803) 799-8407
Fax: (803) 252-9070

Get Directions


Mailing Address

DR. ADELERO OLAYINKA ADEBAJO M.D.
1520 LAUREL ST
COLUMBIA, SC
ZIP 29201
Phone: (803) 799-8407
Fax: (803) 252-9070


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9739194960
PECOS Enrollment IDI20060209000323
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 29201 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.43 $169.76 $128.46
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.85 $42.44 $32.11
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.06 $138.69 $99.16
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.67 $24.79

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:-   Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;-   Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP)93 and the NCQA Heart/Stroke Recognition Program (HSRP)94;-   Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;-   Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;-   Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Colorectal Cancer Screening 70% 568
Percentage of patients 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 10% 270
Percentage of patients 18 - 75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal or dilated eye exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 62% 1074
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 105Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • 88Urinalysis, manual test (HCPCS:81002)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Adelero Adebajo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PRISMA HEALTH BAPTIST1330 TAYLOR AT MARION ST
COLUMBIA, SC 29220
(803) 296-5678Acute Care Hospitals420086
PRISMA HEALTH RICHLAND HOSPITAL5 MEDICAL PARK
COLUMBIA, SC 29203
(803) 296-2548Acute Care Hospitals420018

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
421892MEDICARE OSCAR/CERTIFICATION (06)WI
421832MEDICARE OSCAR/CERTIFICATION (06)WI
421841MEDICARE OSCAR/CERTIFICATION (06)WI
I49264MEDICARE UPIN (02)SC
7131MEDICARE PIN (08)SC
FQC043MEDICAID (05)SC
FQC030MEDICAID (05)SC

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.
1013089572
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230818514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 8 + 5 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1013089572 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891745980MISS JODY D ELLISON MD
Individual
Family Medicine1520 LAUREL ST
COLUMBIA, SC 29201
(803) 799-8407
1750333050DR. ADA STEWART MD
Individual
Family Medicine1520 LAUREL ST
COLUMBIA, SC 29201
(803) 799-8407
1609947324DR. M. KIRSTEN MILLER MD
Individual
Psychiatry & Neurology (Psychiatry)1520 LAUREL ST
COLUMBIA, SC 29201
(803) 799-8407
1255732491CH SC TRI-COUNTIES LLC
Organization
Internal Medicine1520 LAUREL ST
COLUMBIA, SC 29201
(843) 203-7023
1558320960EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1520 LAUREL ST
COLUMBIA, SC 29201
(803) 799-8407

Frequently Asked Questions

What is Dr. Adelero Adebajo M.D. NPI number?

The NPI number assigned to Dr. Adelero Adebajo M.D. is 1013089572, registered as an "individual" on November 13, 2006

Where is Dr. Adelero Adebajo M.D. located?

The provider is located at 1520 Laurel St Columbia, Sc 29201 and the phone number is (803) 799-8407

Which is Dr. Adelero Adebajo M.D. specialty?

The provider's speciality is Internal Medicine

How many years of experience does Dr. Adelero Adebajo M.D. have?

The provider has more than 26 years of experience.

What insurance does Dr. Adelero Adebajo M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Adelero Adebajo M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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. Adelero Adebajo M.D.?

Medicare beneficiaries should expect a typical cost of $128.46 with an average copayment of $32.11 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Adelero Adebajo M.D.?

The most common procedures or services performed by this practitioner are: Blood glucose (sugar) test performed by hand-held instrument and Urinalysis, manual test.

Is Dr. Adelero Adebajo M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: PRISMA HEALTH BAPTIST and PRISMA HEALTH RICHLAND HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Adelero Adebajo M.D. was last updated on November 13, 2006. 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 at: [email protected]