PROSPER I IGBOELI
NPI 1215453881
Obstetrics & Gynecology in Evans, GA

Q: What is Prosper Igboeli's NPI number?

The NPI number for Prosper Igboeli is 1215453881. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Q: What is Prosper Igboeli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Prosper Igboeli was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 16, 2017PECOS Enrolled

1417 AYLESBURY DR, EVANS, GA 30809(440) 796-7593 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Oct 13, 2021, Aug 16, 2017 (3 updates tracked since 2017).

On this page

About Prosper I Igboeli NPPES

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

PROSPER I IGBOELI (NPI 1215453881) is an individual obstetrics & gynecology provider in Evans, Georgia, licensed in New York (202500) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1215453881

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NamePROSPER I IGBOELI

Location Address1417 AYLESBURY DREvans, GA 30809-8214

Mailing Address1417 Aylesbury DrEvans, GA 30809-8214 · (440) 796-7593

Phone(440) 796-7593

Sole ProprietorYes

Medical School CMSOtherGraduated 1977

Enumeration DateAugust 16, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1215453881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 202500

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1417 AYLESBURY DR, Evans, GA 30809

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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 (PECOS)

Prosper I Igboeli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234485087

PECOS Enrollment IDI20260106002607

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

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

Brookview Medical Associates, PLLC

702 mi

General Practice

80 ORVILLE DR STE 100
Bohemia, NY 11716

Reassigned Medicare billing, New York enrollment
754 clinicians in this Medicare group

NPI 1871965855 (972) 715-3800

Signify Health, LLC

852 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Maine enrollment
75 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Signify Health Medical Associates, PLLC

852 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Georgia and Illinois enrollments
488 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 30809 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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

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

TRI-CHIPA HOME CARE SERVICES LLC

Home Health

1417 AYLESBURY DR
EVANS, GA 30809

Columbia County (706) 380-6978

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 Prosper Igboeli's NPI number?

The NPI number for Prosper Igboeli is 1215453881. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Prosper Igboeli located?

Prosper Igboeli practices at 1417 Aylesbury Dr, Evans, GA 30809. The listed phone number is (440) 796-7593.

What is Prosper Igboeli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Prosper Igboeli enrolled in Medicare?

Yes. Prosper Igboeli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prosper Igboeli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prosper Igboeli reassigns Medicare benefits to 3 organizations: Brookview Medical Associates, PLLC (Bohemia, NY), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Prosper Igboeli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prosper Igboeli accept?

Health plans from CareSource (Common Ground Healthcare) list Prosper Igboeli 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 Prosper Igboeli was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.