DR. SIMON OLALEKAN OKEWOLE D.O.
NPI 1205000296
Internal Medicine - Clinical Cardiac Electrophysiology in Jackson, TN

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment
87.71/100
CMS Quality Rating
17 CENTRE PLAZA DR, JACKSON, TN 38305(731) 512-0104(731) 668-7388 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2023, Jul 20, 2021 (2 updates tracked since 2021).

About Dr. Simon Olalekan Okewole D.o. NPPES

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

DR. SIMON OLALEKAN OKEWOLE D.O. (NPI 1205000296) is an individual clinical cardiac electrophysiology provider in Jackson, Tennessee, licensed in Tennessee (2572) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1205000296
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. SIMON OLALEKAN OKEWOLECredential: D.O.
Location Address17 CENTRE PLAZA DRJackson, TN 38305-2862
Mailing Address17 Centre Plaza DrJackson, TN 38305-2862 · (731) 512-0104 · Fax (731) 668-7388
Fax(731) 668-7388
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2005
Enumeration DateApril 22, 2008
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1205000296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in TN · 2572
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MB08388000 (NJ)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2572 (TN)
17 CENTRE PLAZA DR, Jackson, TN 38305

Other Identifiers 2

Other2572TN · State License
Other1396033379TN · Npi

Accepted 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

Dr. Simon Olalekan Okewole D.o. 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 ID5294898557
PECOS Enrollment IDI20130924000431
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

3

Medicare enrollment records show Simon Okewole reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 242 clinicians in this Medicare group
Cardiovascular Disease
9486 HIGHWAY 412 W
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 15 clinicians in this Medicare group
Emergency Care
340 ASBURY AVE
Ripley, TN 38063
  • Reassigned Medicare billing, Tennessee enrollment
  • 49 clinicians in this Medicare group

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 39

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,280 services13 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.
862 services531 patients
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.
557 services276 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
347 services346 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
241 services235 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
200 services50 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County
Emergency services

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

87.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.58
Improvement Activities40
Cost68.67

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.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$17.81 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims22 services$50.62 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims690 services$0.10 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 10

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

Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Specialist
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Nurse Practitioner (Family)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Nurse Practitioner
17 CENTRE PLAZA DR
JACKSON, TN 38305

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 Simon Okewole's NPI number?

The NPI number for Simon Okewole is 1205000296. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Simon Okewole located?

Simon Okewole practices at 17 Centre Plaza Dr, Jackson, TN 38305. The listed phone number is (731) 512-0104.

What is Simon Okewole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Simon Okewole enrolled in Medicare?

Yes. Simon Okewole 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 Simon Okewole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Okewole reassigns Medicare benefits to 3 organizations: West Tennessee Medical Group Inc (Jackson, TN), Delta Clinics, Plc (Lexington, TN) and Lauderdale Community Hospital LLC (Ripley, TN). 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 Simon Okewole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon Okewole accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Simon Okewole 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 Simon Okewole affiliated with any hospitals?

According to CMS data, Simon Okewole is affiliated with Jackson-Madison County General Hospital, Baptist Memorial Hospital - Carroll County, Volunteer Community Hospital, Dyersburg Regional Medical Center and Baptist Memorial Hospital Union City.

When was this NPI record last updated?

The NPPES record for Simon Okewole was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.