ADETOKUNBO OBAYEMI JR. MD
NPI 1205217965
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Syracuse, NY

Q: What is Adetokunbo Obayemi's NPI number?

The NPI number for Adetokunbo Obayemi is 1205217965. It was assigned to this individual provider in the NPPES registry on June 17, 2015. The provider is also known as Ade Obayemi MD.

Q: What is Adetokunbo Obayemi's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment

85.69/100

CMS Quality Rating

750 EAST ADAMS STREET, CWB RM 251, SYRACUSE, NY 13210(201) 431-5751 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Adetokunbo Obayemi Jr. Md NPPES

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

ADETOKUNBO OBAYEMI JR. MD (NPI 1205217965) is an individual otolaryngology/facial plastic surgery provider in Syracuse, New York, licensed in New York (308888) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205217965

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameADETOKUNBO OBAYEMI JR.Credential: MD

Location Address750 EAST ADAMS STREET, CWB RM 251Syracuse, NY 13210

Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (315) 464-7279 · Fax (315) 464-7282

Phone(201) 431-5751

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 17, 2015

Last NPPES UpdateMarch 24, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1205217965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in NY · 308888

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 308888 (NY)

Also ListedSurgeryTaxonomy 208600000X · License 308888 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

750 EAST ADAMS STREET, Syracuse, NY 13210

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Other Names 1

Other Name (5)Ade Obayemi Md

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

Adetokunbo Obayemi Jr. 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 ID7315330719

PECOS Enrollment IDI20220208000651

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 4

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

17 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

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.

85.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.67

Promoting Interoperability

100

Improvement Activities

Cost

73.64

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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.

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