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DR. ALFRED O ADEGBOYEGUN MD
NPI 1205953957
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Springfield, MA

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
759 CHESTNUT ST, SPRINGFIELD, MA 01107(413) 794-5550(413) 794-4212 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alfred O Adegboyegun Md NPPES

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

DR. ALFRED O ADEGBOYEGUN MD (NPI 1205953957) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Springfield, Massachusetts, licensed in Massachusetts (230403) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1205953957
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. ALFRED O ADEGBOYEGUNCredential: MD
Location Address759 CHESTNUT STSpringfield, MA 01107-1619
Mailing AddressPo Box 906Wilbraham, MA 01095-0906 · (508) 595-0531 · Fax (508) 829-5367
Phone(413) 794-5550
Fax(413) 794-4212
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1205953957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in MA · 230403
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 230403 (MA)
759 CHESTNUT ST, Springfield, MA 01107
Open in Google Maps ↗

Other Identifiers 1

Medicaid2133105MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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. Alfred O Adegboyegun 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 ID2668579863
PECOS Enrollment IDI20070523000369
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

5

Medicare enrollment records show Alfred Adegboyegun reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vantage Healthcare LLC
76 mi
Internal Medicine
C/O WORKPLACE@45, 45 DAN RD
Canton, MA 02021
  • Reassigned Medicare billing, Massachusetts enrollment
  • 113 clinicians in this Medicare group
NPI 1366903551 (781) 867-2050
Signify Health Medical Associates, PLLC
1,468 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Massachusetts enrollment
  • 203 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Skilled Physicians Group
2,514 mi
General Practice
3747 FOOTHILL BLVD # B140
Glendale, CA 91214
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1902444623 (310) 445-5999
Skilled Facility Health Care Solutions Inc
2,529 mi
Surgery
5455 S CENTINELA AVE
Los Angeles, CA 90066
  • Reassigned Medicare billing, Massachusetts enrollment
  • 7 clinicians in this Medicare group
NPI 1104018423 (310) 445-5999
Skilled Biologics, Inc.
2,556 mi
Surgery
2108 N ST, NUM 7934
Sacramento, CA 95816
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1376386763 (310) 445-5999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

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.

MEHAK ALI MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-4320
ARNAB SAHA DO
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
KRISHNAKANT GURJAR MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
MR. KANISHQ RAJAN JETHANI M.D
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-4320
STEPHEN A LIEBERMAN MD
Pediatrics (Pediatric Critical Care Medicine)
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-5370
TWARA K TARASARIA MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
NOOR TARIQ MD
Internal Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
BRYANNE E MACDONALD MD
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-3233

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 Alfred Adegboyegun's NPI number?

The NPI number for Alfred Adegboyegun is 1205953957. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Alfred Adegboyegun located?

Alfred Adegboyegun practices at 759 Chestnut St, Springfield, MA 01107. The listed phone number is (413) 794-5550.

What is Alfred Adegboyegun's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Alfred Adegboyegun enrolled in Medicare?

Yes. Alfred Adegboyegun 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 Alfred Adegboyegun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfred Adegboyegun reassigns Medicare benefits to 5 organizations: Vantage Healthcare LLC (Canton, MA), Signify Health Medical Associates, PLLC (Dallas, TX), Skilled Physicians Group (Glendale, CA), Skilled Facility Health Care Solutions Inc (Los Angeles, CA) and Skilled Biologics, Inc. (Sacramento, CA). 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 Alfred Adegboyegun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfred Adegboyegun accept?

Health plans from CareSource (Common Ground Healthcare) list Alfred Adegboyegun 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.

When was this NPI record last updated?

The NPPES record for Alfred Adegboyegun was last updated on April 18, 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.