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AKPOMUDIARE SAMUEL OTUGUOR MD
NPI 1154534303
Family Medicine in Hapeville, GA

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
535 N CENTRAL AVE, HAPEVILLE, GA 30354(404) 761-4040(404) 761-4008 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2020, Apr 29, 2019 (2 updates tracked since 2019).

About Akpomudiare Samuel Otuguor Md NPPES

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

AKPOMUDIARE SAMUEL OTUGUOR MD (NPI 1154534303) is an individual family medicine provider in Hapeville, Georgia, licensed in Iowa (38788) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lawton Indian Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1154534303
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAKPOMUDIARE SAMUEL OTUGUORCredential: MD
Location Address535 N CENTRAL AVEHapeville, GA 30354-1603
Mailing Address535 N Central AveHapeville, GA 30354-1603 · (404) 761-4040 · Fax (404) 761-4008
Phone(404) 761-4040
Fax(404) 761-4008
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration
✔ NPI 1154534303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IA · 38788✔ Licensed in MI · 4301086102✔ Licensed in GA · 65599
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD.38189 (AL)
Also ListedHospitalistTaxonomy 208M00000X · License 38189 (AL)
535 N CENTRAL AVE, Hapeville, GA 30354
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Akpomudiare Samuel Otuguor 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 ID1052468972
PECOS Enrollment IDI20211214003071
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.

Medicare Billing Reassignments

18

Medicare enrollment records show Akpomudiare Otuguor reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Hospitalists Group, LLC
5.5 mi
Hospitalist
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 160 clinicians in this Medicare group
NPI 1033576376 (770) 991-8000
Etowah Emergency Physicians, LLC
52 mi
Emergency Medicine
2360 ROCKMART HWY
Cedartown, GA 30125
  • Reassigned Medicare billing, Georgia enrollment
  • 102 clinicians in this Medicare group
NPI 1306388343 (770) 748-2500
Cherokee County Physicians, LLC
80 mi
Emergency Medicine
400 NORTHWOOD DR
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 50 clinicians in this Medicare group
NPI 1760958680 (256) 927-5531
Weiss Lake Hospitalists, LLC
80 mi
Hospitalist
400 NORTHWOOD DR
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 43 clinicians in this Medicare group
NPI 1205397643 (256) 927-5531
Immh Scottsboro LLC
117 mi
Emergency Medicine
380 WOODS COVE RD
Scottsboro, AL 35768
  • Reassigned Medicare billing, Alabama enrollment
  • 95 clinicians in this Medicare group
NPI 1558762393 (844) 474-4019
Paragon Contracting Services LLC
138 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 646 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
University Of Alabama At Birmingham
138 mi
Family Medicine
930 20TH ST S, SUITE 325
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group
NPI 1063576858 (205) 934-9700
Island Medical Alabama LLC
143 mi
Emergency Medicine
1912 AL HIGHWAY 157
Cullman, AL 35058
  • Reassigned Medicare billing, Alabama enrollment
  • 125 clinicians in this Medicare group
NPI 1104097666 (844) 474-4019
United Emergency Services, Inc.
248 mi
Emergency Medicine
100 HOSPITAL ST
Booneville, MS 38829
  • Reassigned Medicare billing, Georgia enrollment
  • 53 clinicians in this Medicare group
NPI 1326007915 (662) 720-5000
North Texas Physician Services, PLLC
604 mi
Internal Medicine
700 E MARSHALL AVE
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 334 clinicians in this Medicare group
NPI 1992586150 (903) 315-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
558 services262 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
190 services184 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
121 services119 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.
42 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Lawton Indian Hospital

Acute Care Hospitals · Lawton, OK
OwnershipGovernment - Federal
CMS Certification Number370170
Location1515 Lawrie Tatum RoadLawton, OK 73507 · Comanche County
Emergency services

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Faith Community Hospital

Acute Care Hospitals · Jacksboro, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450241
Location215 Chisholm TrailJacksboro, TX 76458 · Jack County
Emergency services

Mid Coast Medical Center - Central

Critical Access Hospitals · Llano, TX
OwnershipPhysician
CMS Certification Number451396
Location200 W OllieLlano, TX 78643 · Llano County
Emergency services

Baylor Emergency Medical Center At Aubrey

Acute Care Hospitals · Aubrey, TX
OwnershipProprietary
CMS Certification Number670062
Location26791 Highway 380Aubrey, TX 76227 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30354 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%64 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
61%262 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
64%475 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
45%599 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
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 exam (no evidence of retinopathy) in the 12 months prior to the measurement period
20%243 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,423 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%10,140 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%775 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%259 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%1,334 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,334 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,334 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%1,334 patients
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.

Other Providers at the Same Location NPPES 19

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

MS. TIFFANY MARSHAWN LOWE MSN, FNP-C
Nurse Practitioner (Family)
535 N CENTRAL AVE
HAPEVILLE, GA 30354
Fulton County (404) 761-4040
TYNISHA TOLBERT PT
Physical Therapist
535 N CENTRAL AVE
HAPEVILLE, GA 30354
Fulton County (404) 761-4040
NORTHWEST DIAGNOSTIC IMAGING, INC
Radiology (Diagnostic Radiology)
535 N CENTRAL AVE
HAPEVILLE, GA 30354
Fulton County (404) 684-1011
STEPHEN A DAWKINS MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
535 N CENTRAL AVE
HAPEVILLE, GA 30354
Fulton County (404) 761-4040
DARREN W FLOWERS RPH
Pharmacist
535 N CENTRAL AVE
HAPEVILLE, GA 30354
Fulton County (404) 761-4040
CADUCEUS OCCUPATIONAL MEDICINE
Preventive Medicine (Occupational Medicine)
535 N CENTRAL AVE
HAPEVILLE, GA 30354
Fulton County (404) 761-4040
MRS. PRISCILLA PEAY NP
Nurse Practitioner (Family)
535 N CENTRAL AVE
ATLANTA, GA 30354
Fulton County (404) 761-4040
DR. BRANDON DAWKINS M.D.
Preventive Medicine (Occupational Medicine)
535 N CENTRAL AVE
HAPEVILLE, GA 30354
Fulton County (404) 761-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Akpomudiare Otuguor's NPI number?

The NPI number for Akpomudiare Otuguor is 1154534303. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Akpomudiare Otuguor located?

Akpomudiare Otuguor practices at 535 N Central Ave, Hapeville, GA 30354. The listed phone number is (404) 761-4040.

What is Akpomudiare Otuguor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Akpomudiare Otuguor enrolled in Medicare?

Yes. Akpomudiare Otuguor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Akpomudiare Otuguor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akpomudiare Otuguor reassigns Medicare benefits to 18 organizations: Georgia Hospitalists Group, LLC (Riverdale, GA), Etowah Emergency Physicians, LLC (Cedartown, GA), Cherokee County Physicians, LLC (Centre, AL), Weiss Lake Hospitalists, LLC (Centre, AL), Immh Scottsboro LLC (Scottsboro, AL) and 13 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Akpomudiare Otuguor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akpomudiare Otuguor accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Health and Oscar Insurance Company list Akpomudiare Otuguor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Akpomudiare Otuguor affiliated with any hospitals?

According to CMS data, Akpomudiare Otuguor is affiliated with Lawton Indian Hospital, Paris Regional Medical Center, Faith Community Hospital, Mid Coast Medical Center - Central and Baylor Emergency Medical Center At Aubrey.

When was this NPI record last updated?

The NPPES record for Akpomudiare Otuguor was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.