DR. ABAYOMI W. OSUNKOYA M.D.
NPI 1164416806
Internal Medicine - Geriatric Medicine in Vero Beach, FL

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
1000 36TH ST, VERO BEACH, FL 32960(772) 567-4311(216) 445-9754 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 20, 2025, Dec 2, 2024, Nov 6, 2023 and 1 more (4 updates tracked since 2021).

About Dr. Abayomi W. Osunkoya M.d. NPPES

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

DR. ABAYOMI W. OSUNKOYA M.D. (NPI 1164416806) is an individual geriatric medicine provider in Vero Beach, Florida, licensed in North Carolina (200101258) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164416806
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. ABAYOMI W. OSUNKOYACredential: M.D.
Location Address1000 36TH STVero Beach, FL 32960-4862
Mailing AddressPo Box 746724Atlanta, GA 30374-6724 · (312) 733-9730
Fax(216) 445-9754
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 8, 2005
Last NPPES UpdateFebruary 20, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1164416806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in NC · 200101258
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1000 36TH ST, Vero Beach, FL 32960

Secondary Practice Locations 3

Location 125 Office Park DrJacksonville, NC 28546-3219 · Phone (910) 353-4878 · Fax (910) 353-2258
Location 2114C Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-9688 · Fax (910) 353-7498
Location 33250 Freedom DrCharlotte, NC 28208-2817 · Phone (704) 709-6009

Other Identifiers 1

Medicaid891298CNC

Accepted 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. Abayomi W. Osunkoya M.d. 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 ID7618916396
PECOS Enrollment IDI20050502001158
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 17

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 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.
511 services205 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
344 services147 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
178 services90 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
80 services38 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
79 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
75 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

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…
99%467 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%598 patients4/55-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
54%261 patients3/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%255 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.
96%11,002 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…
81%1,189 patients4/55-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.
100%452 patients5/55-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.
100%996 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
82%1,014 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
59%1,186 patients3/55-star benchmark: 88%
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…
98%996 patients4/55-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…
6%996 patients1/55-star benchmark: 89%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
100%33 patients
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.
18%996 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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims82 services$6.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims27 services$1.07 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers13 claims13 services$91.49 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$17.45 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers16 claims16 services$13.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers24 claims115 services$2.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Psychiatry & Neurology (Vascular Neurology)
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Medical)
1000 36TH ST
VERO BEACH, FL 32960
Radiology (Vascular & Interventional Radiology)
1000 36TH ST
VERO BEACH, FL 32960
Nurse Practitioner (Family)
1000 36TH ST
VERO BEACH, FL 32960
Dietitian, Registered
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Surgical)
1000 36TH ST
VERO BEACH, FL 32960

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 Abayomi Osunkoya's NPI number?

The NPI number for Abayomi Osunkoya is 1164416806. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Abayomi Osunkoya located?

Abayomi Osunkoya practices at 1000 36th St, Vero Beach, FL 32960. The listed phone number is (772) 567-4311.

What is Abayomi Osunkoya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Abayomi Osunkoya enrolled in Medicare?

Yes. Abayomi Osunkoya 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.

What insurance does Abayomi Osunkoya accept?

Health plans from AvMed list Abayomi Osunkoya 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 Abayomi Osunkoya affiliated with any hospitals?

According to CMS data, Abayomi Osunkoya is affiliated with Caromont Regional Medical Center and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Abayomi Osunkoya was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.