ANTONETTE AJAYI MD
NPI 1225456643
Internal Medicine - Pulmonary Disease in Monterey, CA

Q: What is Antonette Ajayi's NPI number?

The NPI number for Antonette Ajayi is 1225456643. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is Antonette Ajayi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Antonette Ajayi was last updated on August 18, 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 April 02, 2014PECOS EnrolledAccepts Medicare Assignment

84/100

CMS Quality Rating

2 UPPER RAGSDALE DR BLDG A, MONTEREY, CA 93940(831) 333-3040 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2022, Aug 4, 2022, Mar 10, 2022 (3 updates tracked since 2022).

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About Antonette Ajayi Md NPPES

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

ANTONETTE AJAYI MD (NPI 1225456643) is an individual pulmonary disease provider in Monterey, California, licensed in California (A137868) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2014).

NPPES Registry Identity

NPI1225456643

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameANTONETTE AJAYICredential: MD

Location Address2 UPPER RAGSDALE DR BLDG AMonterey, CA 93940-5736

Mailing Address100 Wilson Rd Ste 100Monterey, CA 93940-7885

Phone(831) 333-3040

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2014

Enumeration DateApril 2, 2014

Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1225456643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in CA · A137868

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2 UPPER RAGSDALE DR BLDG A, Monterey, CA 93940

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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

Antonette Ajayi 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 ID5092008425

PECOS Enrollment IDI20171219002683

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 Antonette Ajayi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Of The Monterey Peninsula

5.4 mi

General Acute Care Hospital

23625 HOLMAN HWY
Monterey, CA 93940

Reassigned Medicare billing, California enrollment
245 clinicians in this Medicare group

NPI 1225285810 (831) 624-5311

Montage Medical Group

5.8 mi

Internal Medicine

275 THE CROSSROADS BLVD STE A
Carmel, CA 93923

Reassigned Medicare billing, California enrollment
155 clinicians in this Medicare group

NPI 1770710709 (831) 658-3639

Permanente Medical Group Inc

53 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

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 10

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

254 services96 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.

154 services109 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.

37 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.

35 services30 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

27 services25 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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

$139.84 typical visit price

range $61.69 – $184.30

Typical copayment $34.96 (range $15.42 – $46.07)

Most-billed visit code 99204

Established Patient

$108.04 typical visit price

range $20.34 – $151.02

Typical copayment $27.01 (range $5.08 – $37.75)

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.

84/100

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

Scored as part of a group practice

Quality

83.06

Promoting Interoperability

100

Improvement Activities

Cost

63.61

Referred Medical Equipment & Supplies CMS DME claims 5

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

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

DME-Other DME · category DE000N

2 suppliers14 claims25 services$1.61 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers27 claims27 services$88.43 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$34.17 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers19 claims1,982 services$0.83 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers12 claims12 services$26.09 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 20

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

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