DR. DAVID OSAGIE OKUMBOR M.D
NPI 1164616199
Family Medicine in Terrell, TX

Active since September 03, 2007PECOS EnrolledAccepts Medicare Assignment
604 N ROCKWALL AVE, TERRELL, TX 75160(972) 522-8524 Get Directions Write a Review

NPPES record last updated: April 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Osagie Okumbor M.d NPPES

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

DR. DAVID OSAGIE OKUMBOR M.D (NPI 1164616199) is an individual family medicine provider in Terrell, Texas, licensed in Texas (N1032) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1164616199
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID OSAGIE OKUMBORCredential: M.D
Location Address604 N ROCKWALL AVETerrell, TX 75160-2117
Mailing Address18 Kestrel CtHeath, TX 75032-2043 · (214) 675-3859
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 3, 2007
Last NPPES UpdateApril 13, 2019
NPI 1164616199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N1032
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.
604 N ROCKWALL AVE, Terrell, TX 75160

Other Names 1

Other Name (5)Dr. David Osagie Okumbor M.d

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. David Osagie Okumbor 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 ID8921164773
PECOS Enrollment IDI20090304000195
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 8

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.
174 services92 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.
117 services114 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.
108 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services33 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75160 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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…
98%444 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier30 claims30 services$14.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier30 claims30 services$62.59 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 2

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

Nurse Practitioner (Family)
604 N ROCKWALL AVE
TERRELL, TX 75160
Clinic/Center (Health Service)
604 N ROCKWALL AVE
TERRELL, TX 75160

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 David Okumbor's NPI number?

The NPI number for David Okumbor is 1164616199. It was assigned to this individual provider in the NPPES registry on September 3, 2007. The provider is also known as Dr. David Osagie Okumbor M.D.

Where is David Okumbor located?

David Okumbor practices at 604 N Rockwall Ave, Terrell, TX 75160. The listed phone number is (972) 522-8524.

What is David Okumbor's specialty?

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

Is David Okumbor enrolled in Medicare?

Yes. David Okumbor 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 David Okumbor accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list David Okumbor 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 David Okumbor affiliated with any hospitals?

According to CMS data, David Okumbor is affiliated with Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Okumbor was last updated on April 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.