DR. ADEBUKOLA ADEBAYO M.D.
NPI 1174766125
Ophthalmology in Queens Village, NY

Active since April 07, 2009PECOS EnrolledAccepts Medicare Assignment
21543 JAMAICA AVE, QUEENS VILLAGE, NY 11428(718) 217-0424(718) 217-0459 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2017, Nov 17, 2015, Nov 11, 2015 (3 updates tracked since 2015).

About Dr. Adebukola Adebayo M.d. NPPES

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

DR. ADEBUKOLA ADEBAYO M.D. (NPI 1174766125) is an individual ophthalmology provider in Queens Village, New York, licensed in New York (275557) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Metropolitan Hospital Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2009).

NPPES Registry Identity

NPI1174766125
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ADEBUKOLA ADEBAYOCredential: M.D.
Location Address21543 JAMAICA AVEQueens Village, NY 11428-1736
Mailing Address21543 Jamaica AveQueens Village, NY 11428-1736 · (718) 217-0424 · Fax (718) 217-0459
Fax(718) 217-0459
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2009
Enumeration DateApril 7, 2009
Last NPPES UpdateMarch 15, 20173 updates tracked since enumeration
NPI 1174766125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 275557
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

21543 JAMAICA AVE, Queens Village, NY 11428

Other Identifiers 2

Medicaid03975546NY
Medicare PINA400112742NY

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. Adebukola Adebayo 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 ID5799928982
PECOS Enrollment IDI20141210000888
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 10

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
70 services42 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
45 services44 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
41 services39 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
33 services31 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
26 services26 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
25 services19 patients

Hospital Affiliations CMS Care Compare

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

Metropolitan Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330199
Location1901 First AvenueNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11428 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 3

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

Ophthalmology
21543 JAMAICA AVE
QUEENS VILLAGE, NY 11428
Optometrist
21543 JAMAICA AVE
QUEENS VILLAGE, NY 11428
Optometrist
21543 JAMAICA AVE
QUEENS VILLAGE, NY 11428

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 Adebukola Adebayo's NPI number?

The NPI number for Adebukola Adebayo is 1174766125. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is Adebukola Adebayo located?

Adebukola Adebayo practices at 21543 Jamaica Ave, Queens Village, NY 11428. The listed phone number is (718) 217-0424.

What is Adebukola Adebayo's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Adebukola Adebayo enrolled in Medicare?

Yes. Adebukola Adebayo 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.

Is Adebukola Adebayo affiliated with any hospitals?

According to CMS data, Adebukola Adebayo is affiliated with Metropolitan Hospital Center.

When was this NPI record last updated?

The NPPES record for Adebukola Adebayo was last updated on March 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.