DR. MOSES O. ADEYANJU M.D.
NPI 1306820121
Pathology - Anatomic Pathology & Clinical Pathology in Carbondale, IL

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
405 W JACKSON ST, PATHOLOGY DEPARTMENT, CARBONDALE, IL 62901(618) 549-0721(618) 351-4957 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Moses O. Adeyanju M.d. NPPES

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

DR. MOSES O. ADEYANJU M.D. (NPI 1306820121) is an individual anatomic pathology & clinical pathology provider in Carbondale, Illinois, licensed in Illinois (036-077955) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1306820121
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. MOSES O. ADEYANJUCredential: M.D.
Location Address405 W JACKSON ST, PATHOLOGY DEPARTMENTCarbondale, IL 62901-1462
Mailing AddressPo Box 1105Indianapolis, IN 46206-1105 · (618) 457-5200 · Fax (618) 351-4821
Fax(618) 351-4957
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 5, 2005
Last NPPES UpdateJune 13, 2014
NPI 1306820121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IL · 036-077955
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

405 W JACKSON ST, Carbondale, IL 62901

Other Identifiers 4

Medicare UPING84081
Medicare ID-Type UnspecifiedK20008IL
Medicaid036077955-2IL
Medicare OSCAR/certification214881IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Moses O. Adeyanju 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 ID7012995137
PECOS Enrollment IDI20040713001297
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,805 services1,355 patients
Pathology examination of specimen during surgery, each additional tissue block 88332
During surgery, a pathology examination may be done on additional tissue blocks. This involves taking small samples of tissue and examining them under a microscope. This helps identify any abnormal cells or diseases present, aiding in the precise diagnosis and treatment planning.
2,914 services427 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
1,068 services413 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
648 services330 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
596 services427 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Anesthesiology
405 W JACKSON ST, MEMORIAL HOSPITAL OF CARBONDALE
CARBONDALE, IL 62901
Occupational Therapist
405 W JACKSON ST
CARBONDALE, IL 62901
Physical Therapist
405 W JACKSON ST
CARBONDALE, IL 62901
Physical Therapist
405 W JACKSON ST
CARBONDALE, IL 62901
Speech-Language Pathologist
405 W JACKSON ST
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306820121, enumerated as an "individual" on December 05, 2005.

The provider is located at 405 W JACKSON ST PATHOLOGY DEPARTMENT CARBONDALE, IL 62901 and the phone number is (618) 549-0721.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.