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ADA TOLUTOPE OGUNSIAKAN MD
NPI 1255862058
Dermatology in Charlotte, NC

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2550 FREEDOM DR UNIT B, CHARLOTTE, NC 28208(980) 533-4844(980) 533-4839 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2024, May 4, 2023, Mar 9, 2023 and 9 more (12 updates tracked since 2017).

About Ada Tolutope Ogunsiakan Md NPPES

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

ADA TOLUTOPE OGUNSIAKAN MD (NPI 1255862058) is an individual dermatology provider in Charlotte, North Carolina, licensed in North Carolina (2021-01609) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2017).

NPPES Registry Identity

NPI1255862058
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameADA TOLUTOPE OGUNSIAKANCredential: MD
Location Address2550 FREEDOM DR UNIT BCharlotte, NC 28208-3850
Mailing Address2550 Freedom Dr Unit BCharlotte, NC 28208-3850 · (980) 533-4844 · Fax (980) 533-4839
Phone(980) 533-4844
Fax(980) 533-4839
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateAugust 1, 202412 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1255862058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NC · 2021-01609
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2550 FREEDOM DR UNIT B, Charlotte, NC 28208
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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

Ada Tolutope Ogunsiakan 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 ID7315210309
PECOS Enrollment IDI20210721001853
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

3

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

Esse Dermatology
Same address
Dermatology
2550 FREEDOM DR STE B
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1063286482 (415) 802-1310
The Charlotte-Mecklenburg Hospital Authority
2.0 mi
Hematology & Oncology
1100 S TRYON ST, SUITE 400
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1659705333 (704) 446-9046
Carolinas Physicians Network Inc
2.3 mi
Family Medicine
2041 SOUTH BLVD, STE 100
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1932722980 (704) 304-0140

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 5

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
57 services12 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.
34 services28 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
18 services18 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.
17 services15 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28208 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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 Ada Ogunsiakan's NPI number?

The NPI number for Ada Ogunsiakan is 1255862058. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Ada Ogunsiakan located?

Ada Ogunsiakan practices at 2550 Freedom Dr Unit B, Charlotte, NC 28208. The listed phone number is (980) 533-4844.

What is Ada Ogunsiakan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ada Ogunsiakan enrolled in Medicare?

Yes. Ada Ogunsiakan 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 Ada Ogunsiakan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ada Ogunsiakan reassigns Medicare benefits to 3 organizations: Esse Dermatology (Charlotte, NC), The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Carolinas Physicians Network Inc (Charlotte, NC). 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 Ada Ogunsiakan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ada Ogunsiakan was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.