DR. OLAJIDE A. BALOGUN M.D.
NPI 1215997820
Internal Medicine in Lugoff, SC

Q: What is Olajide Balogun's NPI number?

The NPI number for Olajide Balogun is 1215997820. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Olajide Balogun's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Olajide Balogun was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 27, 2006PECOS EnrolledAccepts Medicare Assignment

85.58/100

CMS Quality Rating

1165 HIGHWAY 1 S, SUITE 200, LUGOFF, SC 29078(803) 408-0225(803) 408-0729 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Olajide A. Balogun M.d. NPPES

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

DR. OLAJIDE A. BALOGUN M.D. (NPI 1215997820) is an individual internal medicine provider in Lugoff, South Carolina, licensed in South Carolina (20381) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1215997820

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. OLAJIDE A. BALOGUNCredential: M.D.

Location Address1165 HIGHWAY 1 S, SUITE 200Lugoff, SC 29078-8966

Mailing Address1165 Highway 1 S, Suite 200Lugoff, SC 29078-8966 · (803) 408-0225 · Fax (803) 408-0729

Phone(803) 408-0225

Fax(803) 408-0729

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateMarch 27, 2006

Last NPPES UpdateDecember 13, 2007

✔ NPI 1215997820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 20381

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 20381 (SC)

1165 HIGHWAY 1 S, Lugoff, SC 29078

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Other Identifiers 1

Medicaid203817SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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. Olajide A. Balogun 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 ID2466497920

PECOS Enrollment IDI20050627000009

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 Reassignment

Medicare enrollment records show Olajide Balogun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apexcare PA

Same address

Internal Medicine

1165 HIGHWAY 1 S, SUITE 200
Lugoff, SC 29078

Reassigned Medicare billing, South Carolina enrollment

NPI 1508958216 (803) 408-0225

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 14

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 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.

908 services220 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

730 services80 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

285 services161 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

143 services143 patients

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.

95 services69 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

87 services87 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

72 services51 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

44 services44 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

32 services30 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

27 services24 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

24 services22 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

17 services17 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

14 services14 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420018

Location5 Medical ParkColumbia, SC 29203 · Richland County

Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420026

Location2435 Forest DriveColumbia, SC 29204 · Richland County

Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420048

Location1315 Roberts StreetCamden, SC 29020 · Kershaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29078 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

85.58/100

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

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Cost

56.95

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

66%74 patients2/55-star benchmark: 100%

Advance Care Plan

16%620 patients1/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

93%57 patients4/55-star benchmark: 100%

Breast Cancer Screening

58%268 patients3/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

15%590 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

74%547 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

72%546 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

42%242 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

24%242 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

82%1,492 patients4/55-star benchmark: 100%

e-Prescribing

99%1,857 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

56%424 patients3/55-star benchmark: 100%

HIV Screening

51%473 patients4/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

54%850 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%385 patients2/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

58%931 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88%440 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 439 patients

Patients totalRate: 11% · 451 patients

10%451 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers30 claims82 services$6.65 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers32 claims32 services$32.84 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers15 claims30 services$1.25 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

1 supplier11 claims22 services$1.02 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers11 claims11 services$75.54 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

1 supplier17 claims97 services$15.72 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.

KERSHAW HOSPITAL LLC

Home Health

1165 HIGHWAY 1 S
LUGOFF, SC 29078

Kershaw County (803) 425-1182

KERSHAW HOSPITAL LLC

Hospice Care, Community Based

1165 HIGHWAY 1 S
LUGOFF, SC 29078

Kershaw County (803) 425-1916

CATHY PORTER APRN

Nurse Practitioner (Family)

1165 HIGHWAY 1 S, SUITE 400
LUGOFF, SC 29078

Kershaw County (803) 408-3262

SANDHILLS MEDICAL FOUNDATION

Durable Medical Equipment & Medical Supplies

1165 HIGHWAY 1 S, SUITE 400
LUGOFF, SC 29078

Kershaw County (803) 438-5537

APEXCARE PA

Internal Medicine

1165 HIGHWAY 1 S, SUITE 200
LUGOFF, SC 29078

Kershaw County (803) 408-0225

MRS. SHEILA T HOSKINS MSP

Speech-Language Pathologist

1165 HIGHWAY 1 S, SUITE 300
LUGOFF, SC 29078

Kershaw County (803) 424-2207

MRS. KELLY LYNN WARNOCK FNP

Nurse Practitioner (Family)

1165 HIGHWAY 1 S, SUITE 300
LUGOFF, SC 29078

Kershaw County (803) 438-0867

CENTER FOR PAIN CONTROL LLC

Pain Medicine (Interventional Pain Medicine)

1165 HIGHWAY 1 S, SUITE 300
LUGOFF, SC 29078

Kershaw County (803) 408-3033

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 Olajide Balogun's NPI number?

The NPI number for Olajide Balogun is 1215997820. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Olajide Balogun located?

Olajide Balogun practices at 1165 Highway 1 S Suite 200, Lugoff, SC 29078. The listed phone number is (803) 408-0225.

What is Olajide Balogun's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Olajide Balogun enrolled in Medicare?

Yes. Olajide Balogun 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 organization bills Medicare for Olajide Balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olajide Balogun reassigns Medicare benefits to Apexcare PA (Lugoff, SC). The 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 Olajide Balogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olajide Balogun accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Olajide Balogun 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 Olajide Balogun affiliated with any hospitals?

According to CMS data, Olajide Balogun is affiliated with Prisma Health Richland Hospital, Musc Health Columbia Medical Center Downtown and Kershawhealth.

When was this NPI record last updated?

The NPPES record for Olajide Balogun was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.