BOLANLE O. GBADEBO MD
NPI 1245320480
Family Medicine in San Antonio, TX

Q: What is Bolanle Gbadebo's NPI number?

The NPI number for Bolanle Gbadebo is 1245320480. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Bolanle Gbadebo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bolanle Gbadebo was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 16, 2006PECOS Enrolled

9939 STATE HIGHWAY 151, SAN ANTONIO, TX 78251(210) 949-9702(210) 443-0333 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bolanle O. Gbadebo Md NPPES

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

BOLANLE O. GBADEBO MD (NPI 1245320480) is an individual family medicine provider in San Antonio, Texas, licensed in Wisconsin (46201) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245320480

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBOLANLE O. GBADEBOCredential: MD

Location Address9939 STATE HIGHWAY 151San Antonio, TX 78251-1900

Mailing Address7400 Merton Minter StSan Antonio, TX 78229-4404 · (920) 217-0539

Phone(210) 949-9702

Fax(210) 443-0333

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateMarch 5, 2025

NPPES CertifiedMarch 5, 2025

✔ NPI 1245320480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 46201✔ Licensed in AL · 28814

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9939 STATE HIGHWAY 151, San Antonio, TX 78251

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Other Identifiers 1

Medicaid34586000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bolanle O. Gbadebo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bolanle Gbadebo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aspirus Stevens Point Hospital & Clinics, Inc.

1,153 mi

General Practice

3500 HOOVER RD
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
619 clinicians in this Medicare group

NPI 1184082745 (715) 342-7900

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 78251 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%903 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%23 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

70%609 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

60%609 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

10%609 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

18%609 patients

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.

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.

NANCY GAIL BOWEN DNP

Registered Nurse