DR. OLUWATOSIN J OJO MD
NPI 1073877924
Orthopaedic Surgery in Macon, GA

Q: What is Oluwatosin Ojo's NPI number?

The NPI number for Oluwatosin Ojo is 1073877924. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Oluwatosin Ojo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Oluwatosin Ojo was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment

65.09/100

CMS Quality Rating

3708 NORTHSIDE DR, MACON, GA 31210(478) 745-4206(478) 254-5463 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2023, Jun 11, 2019, Jul 27, 2018 and 3 more (6 updates tracked since 2017).

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About Dr. Oluwatosin J Ojo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLUWATOSIN J OJO MD (NPI 1073877924) is an individual orthopaedic surgery provider in Macon, Georgia, licensed in Georgia (79849) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Northeastern Ohio University College Of Medicine (2012).

NPPES Registry Identity

NPI1073877924

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. OLUWATOSIN J OJOCredential: MD

Location Address3708 NORTHSIDE DRMacon, GA 31210-2404

Mailing Address3708 Northside DrMacon, GA 31210-2404 · (478) 745-4206 · Fax (478) 254-5463

Phone(478) 745-4206

Fax(478) 254-5463

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2012

Enumeration DateJune 26, 2012

Last NPPES UpdateOctober 22, 20256 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1073877924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in GA · 79849✔ Licensed in MS · 24995✔ Licensed in TN · 55670

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3708 NORTHSIDE DR, Macon, GA 31210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Oluwatosin J Ojo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577702927

PECOS Enrollment IDI20180803001491

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

494 services365 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

459 services316 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

188 services137 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

86 services86 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

40 services38 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

29 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services28 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

22 services15 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

20 services18 patients

Mri scan of leg without contrast 73718

An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.

20 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Harvest of graft from small bone 20900

Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110069

Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County

Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110201

Location400 Charter BoulevardMacon, GA 31210 · Bibb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

43.07

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

50%516 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

34%151 patients2/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%121 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

80%3,505 patients3/55-star benchmark: 100%

e-Prescribing

98%345 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%792 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

18%2,488 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

1%3,254 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 6% · 1,810 patients

6%1,810 patients

Provide Patients Electronic Access to Their Health Information

67%1,008 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

74%138 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 860 patients

Patients totalRate: 3% · 860 patients

3%860 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers22 claims22 services$21.96 avg. paid by Medicare

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

2 suppliers39 claims40 services$62.35 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

2 suppliers50 claims50 services$218.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WALDO EMERSON FLOYD III MD

Orthopaedic Surgery (Hand Surgery)