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DR. AGBOLADE O. ODUTAYO D.O.
NPI 1316992779
Emergency Medicine in Cameron, TX

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
300 W 4TH ST, CAMERON, TX 76520(254) 697-3100(254) 697-3112 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Agbolade O. Odutayo D.o. NPPES

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

DR. AGBOLADE O. ODUTAYO D.O. (NPI 1316992779) is an individual emergency medicine provider in Cameron, Texas, licensed in Texas (K6196) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1996).

NPPES Registry Identity

NPI1316992779
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. AGBOLADE O. ODUTAYOCredential: D.O.
Location Address300 W 4TH STCameron, TX 76520-2509
Mailing Address300 W 4th StCameron, TX 76520-2509 · (254) 697-3100 · Fax (254) 697-3112
Phone(254) 697-3100
Fax(254) 697-3112
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1996
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1316992779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · K6196
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License K6196 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License K6196 (TX)
300 W 4TH ST, Cameron, TX 76520
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

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. Agbolade O. Odutayo D.o. 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 ID6709873680
PECOS Enrollment IDI20040430000923
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
140 services134 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
115 services112 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
37 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX
OwnershipGovernment - Local
CMS Certification Number451356
Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County
Emergency services

Crockett Medical Center

Critical Access Hospitals · Crockett, TX
OwnershipPhysician
CMS Certification Number451393
Location1100 E Loop 304Crockett, TX 75835 · Houston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76520 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.

Other Providers at the Same Location NPPES

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

GATEWAY MEDCARE LLP
Internal Medicine
300 W 4TH ST
CAMERON, TX 76520
Milam County (254) 697-3100

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 Agbolade Odutayo's NPI number?

The NPI number for Agbolade Odutayo is 1316992779. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Agbolade Odutayo located?

Agbolade Odutayo practices at 300 W 4th St, Cameron, TX 76520. The listed phone number is (254) 697-3100.

What is Agbolade Odutayo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Agbolade Odutayo enrolled in Medicare?

Yes. Agbolade Odutayo 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.

What insurance does Agbolade Odutayo accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Agbolade Odutayo 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 Agbolade Odutayo affiliated with any hospitals?

According to CMS data, Agbolade Odutayo is affiliated with Memorial Medical Center and Crockett Medical Center.

When was this NPI record last updated?

The NPPES record for Agbolade Odutayo was last updated on January 29, 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.